Active NPI
Karen S Kato, OD
- Optometrist
- Great Lakes, IL
National Provider Identifier
1215998653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2197
- Practice address
- 3001 6TH St
Naval Hospital Great Lakes
Great Lakes, IL 60088-2833 - Phone
- (847) 688-2616
- Fax
- (847) 688-2382
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- 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 | 2197 | MN | Primary |
Addresses
Primary practice location
3001 6TH St
Naval Hospital Great Lakes
Great Lakes, IL 60088-2833
Mailing address
31016 Prairie Ridge CT S
Libertyville, IL 60048-4899
Phone (847) 688-2616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1215998653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31016 PRAIRIE RIDGE CT S",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600484899",
"telephone_number": "847-688-2616",
"fax_number": "847-688-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 6TH ST",
"address_2": "NAVAL HOSPITAL GREAT LAKES",
"city": "GREAT LAKES",
"state": "IL",
"postal_code": "600882833",
"telephone_number": "847-688-2616",
"fax_number": "847-688-2382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATO",
"first_name": "KAREN",
"middle_name": "S",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Lakes, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.