Individual provider Active NPI

Dolores P Lootens, OD

  • Optometrist
  • Buffalo Grove, IL
National Provider Identifier
1053037820
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011798 Issued in IL
Practice address
68 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone
(847) 547-3334
Fax
(847) 547-8442
NPI assigned
Oct 13, 2022
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009671 NY
Optometrist 152W00000X 046011798 IL Primary

Addresses

Primary practice location

68 W Dundee Rd
Buffalo Grove, IL 60089-3758

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

17W682 Butterfield Rd Ste 101
Oakbrook Terrace, IL 60181-4029
Phone (708) 636-9393

Other practice location 2

4459 N Kedzie Ave
Chicago, IL 60625-4785
Phone (773) 866-2020

Other practice location 3

6201 W 95th St
Oak Lawn, IL 60453-3888
Phone (708) 636-9393

Other practice location 4

14494 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (708) 226-9393

Other names 1

  • Dr. Dolores Lootens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017002788 IL Practitioner - Optometry 9436504008 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009671NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Sep 26, 2023 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Visionworks, Inc CurrentSince Dec 27, 2024 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Sep 26, 2023 Accepting new patients
Family Eye Physicians, LTD Optometrist CurrentSince Dec 9, 2023 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Dec 27, 2024 Accepting new patients
Columbia Vamc PastSince Oct 1, 2022 Accepting new patients
20/20 Eye Physicians of Indiana P C Past Accepting new patients

Locations

68 W Dundee Rd
Buffalo Grove, IL 60089
Phone (708) 636-9393

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

20 E North St
Coal City, IL 60416
Phone (815) 634-4825

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

6201 W 95th St
Oak Lawn, IL 60453
Phone (708) 636-5615

17W682 Butterfield Rd
Ste 101
Oakbrook Terrace, IL 60181
Phone (708) 636-9393

14494 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 226-9393

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1053037820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893758",
            "telephone_number": "847-547-3334",
            "fax_number": "847-547-8442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17W682 Butterfield Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814029",
            "country_code": "US",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4459 N Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606254785",
            "country_code": "US",
            "telephone_number": "773-866-2020",
            "fax_number": "773-866-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604533888",
            "country_code": "US",
            "telephone_number": "708-636-9393",
            "fax_number": "408-636-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14494 John Humphrey Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622638",
            "country_code": "US",
            "telephone_number": "708-226-9393",
            "fax_number": "708-403-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOTENS",
        "first_name": "DOLORES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009671",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "LOOTENS",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.