John E. Anderson O.D.,LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007314 Issued in IL

Legal business name

JOHN E. ANDERSON O.D.,LTD

Practice address

512 W Burlington Ave
Suite 106
La Grange, IL 60525-2221

Phone

(708) 354-7001

Fax

(708) 354-0716

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Eric Anderson, O.D.

Title

Owner

Phone

(708) 354-7001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shereen Rammaha

  • Optometrist
  • Orland Park, IL
  • NPI 1871319749
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1144358599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE",
            "address_2": "SUITE 106",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252221",
            "telephone_number": "708-354-7001",
            "fax_number": "708-354-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE",
            "address_2": "SUITE 106",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252221",
            "telephone_number": "708-354-7001",
            "fax_number": "708-354-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. ANDERSON O.D.,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-354-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Jason, PTA
• Mary Jeffrey
• Alyssa Jesberger, MSW
• Jessica Mattern DDS, PLLC
• Joey Harman, LCPC, NCC
• Kerry M John, OD
• Megan M John, LCPC
• Gerald Timothy Johnson, M.D.
• Kevin Darnell Johnson, MD
• Carly Jones, PT, OCS, CMT, ATC

• Optometrist in La Grange, IL
• Providers in La Grange, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.