Individual provider Active NPI

Richard John Torson Jr., O.D.

  • Optometrist
  • Glen Ellyn, IL
National Provider Identifier
1164494993
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008271 Issued in IL
Practice address
698 Roosevelt Rd
Glen Ellyn, IL 60137-5819
Phone
(630) 545-2020
Fax
(708) 749-7944
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008271 IL Primary

Addresses

Primary practice location

698 Roosevelt Rd
Glen Ellyn, IL 60137-5819

Mailing address

6233 Cermak Rd
Berwyn, IL 60402-2317
Phone (708) 749-2020

Other identifiers 2

IdentifierTypeStateIssuer
046-008271MedicaidIL
999575OtherILLOCALITY MEDICARE

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
I20101119001149 IL Practitioner - Optometry 2860688579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1989
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

698 Roosevelt Rd
Glen Ellyn, IL 60137-5819
Phone (630) 545-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008271ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc. Optometrist CurrentSince Sep 1, 2010 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Sep 1, 2010 Accepting new patients
Rosin Optical Co., Inc. Optometrist 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

698 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 545-2020

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1164494993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022317",
            "telephone_number": "708-749-2020",
            "fax_number": "708-749-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375819",
            "telephone_number": "630-545-2020",
            "fax_number": "708-749-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORSON",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046-008271",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCALITY MEDICARE",
            "identifier": "999575",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.