Active NPI
Thomas Esposito, O.D.
- Optometrist
- Forest Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011117
- 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
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 | 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
Enrollment records 1
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
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 100
- Quality
- 97.68
- Improvement activities
- 40
- Cost
- 79.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011117 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Past | Accepting new patients |
| United Eye Care Providers, LLC | Optometrist | Past | 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.
-
- Ophthalmology Physician
- Hoffman Estates, IL
- NPI 1598809659
-
dba Fielmann Vision Care 4313
- Eyewear Supplier
- Rockford, IL
- NPI 1467311142
Optometrist
-
- Optometrist
- Lemont, IL
- NPI 1013070093
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.