Active NPI
Mehar Gani Asim, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1043612807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010849
- Practice address
- 215 W 23Rd St
Chicago, IL 60616-1903 - Phone
- (312) 225-3188
- NPI assigned
- Sep 23, 2014
- Last updated
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010849 | IL | Primary |
Addresses
Primary practice location
215 W 23Rd St
Chicago, IL 60616-1903
Mailing address
3708 N Southport Ave
Chicago, IL 60613-6888
Phone (630) 442-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1043612807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 N SOUTHPORT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606136888",
"telephone_number": "630-442-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W 23RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161903",
"telephone_number": "312-225-3188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASIM",
"first_name": "MEHAR",
"middle_name": "GANI",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Asian Human Services, Inc.
- Asian Human Services, Inc. (Asian Human Services of Chicago, Inc)
- Asian Human Services, Inc. (Trellus)
- Asian Village Dental Clinic
- Asian Village Medical Clinic PC
- Mohammed Adil Asim, DDS
- Angela Asimakopoulos, DNP
- Fotios Asimakopoulos, MD
- Georgios Nikolaos Asimis, MD
- Asj MD SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.