Individual provider Active NPI

Thomas Esposito, O.D.

  • Optometrist
  • Forest Park, IL
National Provider Identifier
1194260414
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011117 Issued in IL
Practice address
7610 Roosevelt Rd Ste 5
Forest Park, IL 60130-2295
Phone
(708) 366-9278
NPI assigned
Dec 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046011117 IL Primary

Addresses

Primary practice location

7610 Roosevelt Rd Ste 5
Forest Park, IL 60130-2295

Mailing address

600 Burlington Cir Apt 210
Wheeling, IL 60090-4117
Phone (708) 224-5210

Other practice location 1

3541 Rose St Ste B
Franklin Park, IL 60131-2068
Phone (847) 678-0808

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
I20180404000786 IL Practitioner - Optometry 4284997297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sullivan Ostoich Eye Care LTDGroup PAC ID 8527046648, 6 clinicians

Practice addresses (Care Compare)

1415 Palatine Rd
Hoffman Estates, IL 60192-1196
Phone (847) 776-8900

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as group
Quality
97.68
Improvement activities
40
Cost
79.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011117ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients
United Eye Care Providers, LLC Optometrist PastSince Mar 20, 2018 Accepting new patients

Locations

1918 Gateway Center Dr
Belvidere, IL 61008
Phone (815) 547-3456

1964 W Morton Ave
Jacksonville, IL 62650
Phone (217) 245-6070

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194260414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BURLINGTON CIR APT 210",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600904117",
            "telephone_number": "708-224-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 ROOSEVELT RD STE 5",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302295",
            "telephone_number": "708-366-9278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3541 Rose St Ste B",
            "address_purpose": "LOCATION",
            "city": "Franklin Park",
            "state": "IL",
            "postal_code": "601312068",
            "country_code": "US",
            "telephone_number": "847-678-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

Verify at the official NPI Registry.