Individual provider Active NPI

Olivia Grace Turner

  • Optometrist
  • Chicago, IL
National Provider Identifier
1073186623
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011662 Issued in IL
Practice address
230 E Ohio St Ste 120
Chicago, IL 60611-3266
Phone
(312) 640-2405
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011662 IL Primary
Optometrist 152W00000X 1551 NE

Addresses

Primary practice location

230 E Ohio St Ste 120
Chicago, IL 60611-3266

Mailing address

230 E Ohio St Ste 120
Chicago, IL 60611-3266

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
I20221005002538 IL Practitioner - Optometry 7517343114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Society LLCGroup PAC ID 0840365581, 2 clinicians

Practice addresses (Care Compare)

230 E Ohio St
Suite 120
Chicago, IL 60611-3266
Phone (312) 640-2405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011662ILMDOptometrist
1551NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Society LLC Optometrist CurrentSince Sep 22, 2022 Accepting new patients

Locations

1 W Wacker Dr
Chicago, IL 60601

230 E Ohio St
Ste 120
Chicago, IL 60611
Phone (312) 640-2405

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1073186623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST STE 120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST STE 120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113266",
            "telephone_number": "312-640-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011662",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.