Active NPI
Rachel Grace Ford, OD
- Optometrist
- Calumet City, IL
National Provider Identifier
1144096124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011826
- Practice address
- 1320 Torrence Ave
Calumet City, IL 60409-5512 - Phone
- (708) 868-5190
- NPI assigned
- Nov 30, 2023
- 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 | 046.011826 | IL | Primary |
Addresses
Primary practice location
1320 Torrence Ave
Calumet City, IL 60409-5512
Mailing address
401 E 32ND St Apt 1507
Chicago, IL 60616-4063
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1320 Torrence Ave
Calumet City, IL 60409-5512
Phone (708) 868-5190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011826 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Current | Accepting new patients | |
| Luxottica of America Inc | Current | Accepting new patients |
Locations
1320 Torrence Ave
Calumet City, IL 60409
Phone (708) 868-5190
900 W North Ave
Chicago, IL 60642
Phone (312) 690-3526
4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1144096124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 32ND ST APT 1507",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 TORRENCE AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095512",
"telephone_number": "708-868-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "RACHEL",
"middle_name": "GRACE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.