Individual provider Active NPI

Emma Loyfman, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1174752091
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009774 Issued in IL
Practice address
3144 N Broadway St
Chicago, IL 60657-4582
Phone
(773) 880-5400
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009774 IL Primary

Addresses

Primary practice location

3144 N Broadway St
Chicago, IL 60657-4582

Mailing address

3144 N Broadway St
Chicago, IL 60657-4582
Phone (773) 880-5400

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
I20100602001030 IL Practitioner - Optometry 4183753072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009774ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lenses Unlimited Optometrist Past Accepting new patients

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1174752091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574582",
            "telephone_number": "773-880-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574582",
            "telephone_number": "773-880-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYFMAN",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.