Active NPI
James Alan Vroegh, O.D.
- Optometrist
- Orland Park, IL
National Provider Identifier
1154411312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046007652
- Practice address
- 15410 S Harlem Ave
Orland Park, IL 60462-4333 - Phone
- (708) 633-0060
- Fax
- (708) 633-0077
- NPI assigned
- Oct 16, 2006
- 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 | 046007652 | IL | Primary |
Addresses
Primary practice location
15410 S Harlem Ave
Orland Park, IL 60462-4333
Mailing address
3605 Spyglass Cir
Palos Heights, IL 60463-3138
Phone (708) 597-9778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0920080001 | Other | IL | MEDICARE DME |
| 0040018662 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Orland Eyeworks, LTD | Optometrist | Past | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
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.
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1154411312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 SPYGLASS CIR",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604633138",
"telephone_number": "708-597-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15410 S HARLEM AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624333",
"telephone_number": "708-633-0060",
"fax_number": "708-633-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VROEGH",
"first_name": "JAMES",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046007652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "0920080001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0040018662",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.