Active NPI
Julie Klein, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1134675945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011047
- Practice address
- 1538 N Milwaukee Ave
Chicago, IL 60622-7828 - Phone
- (773) 252-1605
- NPI assigned
- Aug 31, 2016
- Last updated
- Aug 31, 2016
- Sex
- Female
- 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 | 046011047 | IL | Primary |
Addresses
Primary practice location
1538 N Milwaukee Ave
Chicago, IL 60622-7828
Mailing address
1538 N Milwaukee Ave.
Chicago, IL 60622
Phone (773) 252-1605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nikoumanesh Eye Care LLC | Optometrist | Current | Accepting new patients |
Locations
1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334
1200 N Larrabee St
Chicago, IL 60610
Phone (312) 470-8945
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Chicago, IL
- NPI 1275234866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1134675945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1538 N MILWAUKEE AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60622",
"telephone_number": "773-252-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1538 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606227828",
"telephone_number": "773-252-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "JULIE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011047",
"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 Aug 31, 2016; 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.