Individual provider Active NPI

Brian T Coffey, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1124479571
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011025 Issued in IL
Practice address
1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone
(312) 997-3686
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011025 IL Primary

Addresses

Primary practice location

1850 W Roosevelt Rd
Chicago, IL 60608-1200

Mailing address

1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone (312) 997-3686

Other practice location 1

0S036 Church St Ste 200
Winfield, IL 60190-1203
Phone (331) 732-4370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170920002965 IL Practitioner - Optometry 6901170505 Reassigns benefits to 5 organizations
I20190620002196 IN Practitioner - Optometry 6901170505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Midwestern UniversityGroup PAC ID 6305734773, 116 clinicians

Practice addresses (Care Compare)

0 S036 Church St
Winfield, IL 60190-1203

1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone (312) 666-1331

3198 E 83Rd Place
Merrillville, IN 46410-6418
Phone (312) 666-1331

3450 Lacey Rd
Downers Grove, IL 60515-5430
Phone (630) 743-4500

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011025ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University CurrentSince Sep 14, 2022 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Midwestern University Optometrist CurrentSince Sep 14, 2022 Accepting new patients
Sidney Hillman Health Centre of the Chicago and Cent St JNT BRD Union CurrentSince Dec 9, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2023 Accepting new patients
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired Optometrist CurrentSince Jan 14, 2019 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jul 24, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2023 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jul 24, 2017 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

333 S Ashland Ave
Chicago, IL 60607
Phone (312) 738-6170

26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500

1850 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 997-3686

3450 Lacey Rd
Ste 602
Downers Grove, IL 60515
Phone (630) 743-4500

3450 Lacey Rd
Ste 211
Downers Grove, IL 60515
Phone (630) 743-4500

1346 Patriot Blvd
Glenview, IL 60026
Phone (847) 729-5050

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

3198 E 83rd Pl
Merrillville, IN 46410
Phone (219) 945-0100

Interoperability endpoints

  • Direct secure messaging: brian.coffey.p1@direct.midwesternuniversity.nextgenshare.com
  • Direct secure messaging: brian.coffey.p25@direct.willcounty.nextgenshare.com
  • Direct secure messaging: bcoffey19680@direct.midwestern.edu

Organizations & group practices 10

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1124479571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081200",
            "telephone_number": "312-997-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081200",
            "telephone_number": "312-997-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "0S036 Church St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901203",
            "country_code": "US",
            "telephone_number": "331-732-4370",
            "fax_number": "331-732-4375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.