Active NPI
Brian T Coffey, O.D.
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011025
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011025 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern University | Current | Accepting new patients | |
| Rosin Optical Co., Inc | Optometrist | Current | Accepting new patients |
| Midwestern University | Optometrist | Current | Accepting new patients |
| Sidney Hillman Health Centre of the Chicago and Cent St JNT BRD Union | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| The Chicago Lighthouse for People Who Are Blind Or Visually Impaired | Optometrist | Current | Accepting new patients |
| Rosin Optical Co. Inc. | Optometrist | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Rosin Optical Co. Inc. | Optometrist | Current | 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
- brian.coffey.p1@direct.midwesternuniversity.nextgenshare.com
- brian.coffey.p25@direct.willcounty.nextgenshare.com
- 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.
-
- Clinic/Center
- Downers Grove, IL
- NPI 1538445317
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Low Vision Rehabilitation Optometrist
- Chicago, IL
- NPI 1043326309
IN
-
- Optometrist
- Berwyn, IL
- NPI 1235343641
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1649324211
-
- Optometrist
- Downers Grove, IL
- NPI 1295126324
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Optometrist
- Oak Park, IL
- NPI 1164951034
-
- Optometrist
- Skokie, IL
- NPI 1750945408
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.