Imran Ali, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010257 Issued in IL

Practice address

313 N Division St
Harvard, IL 60033

Phone

(815) 943-6635

Fax

(815) 943-6740

NPI assigned

Jul 8, 2009

Last updated

Aug 31, 2009By the provider in NPPES

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Imran Ali P.C.

  • Optometrist
  • Roselle, IL
  • NPI 1194103770
  Medicare reassignment Authorized official
• Marengo Vision Center, P.C.

  dba Harvard Family Eye Care

  • Optometrist
  • Harvard, IL
  • NPI 1396940938
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1093944324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N DIVISION ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600333060",
            "telephone_number": "815-943-6635",
            "fax_number": "815-943-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N DIVISION ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "60033",
            "telephone_number": "815-943-6635",
            "fax_number": "815-943-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "IMRAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Aceves-Ochoa
• Judy K Aguilar, PTA
• Alan Kushner, D.D.S. & Associates, P.C.
• Mark F Alexander, MD
• Mohammad Amir, D.O.
• Association for Individual Development
• Atlas Health LLC
• Timothy Aubry
• Ayer Street Chiropractic LLC

• Optometrist in Harvard, IL
• Providers in Harvard, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.