Mark S. Sblendorio, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

9900 Ridgeland Ave
Chicago Ridge, IL 60415-1241

Phone

(708) 422-8955

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Visionworks, Inc.

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  Medicare reassignment

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073686416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14262 SELVA LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621788",
            "telephone_number": "708-873-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 RIDGELAND AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151241",
            "telephone_number": "708-422-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SBLENDORIO",
        "first_name": "MARK",
        "middle_name": "S.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najwa Saleh, FNP
• Laura K Sanders, M.D.
• Mohammad Sarhan, M.D.
• Sblendorio Vision Care Inc
• Kathleen D Sblendorio, O.D.
• Jennifer L Schmidt, PSYD
• Rae Louise Scimeeca, MD
• Sawliha Seedat
• Senior Center Daycare, Inc.
• Laura Marie Seweryn, RD

• Optometrist in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.