Individual provider Active NPI

Alan Karikomi, OD

  • Corneal and Contact Management Optometrist
  • Chicago, IL
National Provider Identifier
1164642286
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
046007193 Issued in IL
Practice address
2 N la Salle St
Suite 155
Chicago, IL 60602-3702
Phone
(312) 236-7538
Fax
(312) 236-1205
NPI assigned
Apr 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 046007193 IL Primary

Addresses

Primary practice location

2 N la Salle St
Suite 155
Chicago, IL 60602-3702

Mailing address

2 N la Salle St
Suite 155
Chicago, IL 60602-3702
Phone (312) 236-7538

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
I20100724000289 IL Practitioner - Optometry 0648302786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Level IncGroup PAC ID 9830221977, 2 clinicians

Practice addresses (Care Compare)

2 N Lasalle St
Suite 155
Chicago, IL 60602-3971
Phone (312) 236-7538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007193ILMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Level Inc Corneal and Contact Management CurrentSince Jun 16, 2010 Accepting new patients

Locations

2 N La Salle St
Ste 155
Chicago, IL 60602
Phone (312) 236-7538

Organizations & group practices 1

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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1164642286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N LA SALLE ST",
            "address_2": "SUITE 155",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023702",
            "telephone_number": "312-236-7538",
            "fax_number": "312-236-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N LA SALLE ST",
            "address_2": "SUITE 155",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023702",
            "telephone_number": "312-236-7538",
            "fax_number": "312-236-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIKOMI",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046007193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.