Individual provider Active NPI

Ana Milena Sury, O.D

  • Optometrist
  • Oak Park, IL
National Provider Identifier
1144313313
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009146 Issued in IL
Practice address
835 S Ridgeland Ave
Oak Park, IL 60304-1434
Phone
(708) 660-1252
Fax
(708) 660-0377
NPI assigned
Oct 2, 2006
Last updated
Apr 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009146 IL Primary

Addresses

Primary practice location

835 S Ridgeland Ave
Oak Park, IL 60304-1434

Mailing address

835 S Ridgeland Ave
Oak Park, IL 60304-1434
Phone (708) 660-1252

Other names 1

  • Ana M. Amunategui Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000482 IL Practitioner - Optometry 9436237179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

145 Ogden Ave
Downers Grove, IL 60515-2323
Phone (630) 749-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co., Inc. Optometrist CurrentSince May 1, 2016 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince May 1, 2016 Accepting new patients
Rosin Optical Co., Inc. Optometrist Past Accepting new patients
Evanston Ophthalmologists, S.C. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Cole Vision Corporation Optometrist Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

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

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1144313313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 S RIDGELAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041434",
            "telephone_number": "708-660-1252",
            "fax_number": "708-660-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S RIDGELAND AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041434",
            "telephone_number": "708-660-1252",
            "fax_number": "708-660-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURY",
        "first_name": "ANA",
        "middle_name": "MILENA",
        "name_prefix": "Ms.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "AMUNATEGUI",
            "middle_name": "M.",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.