Individual provider Active NPI

Rohit K Sharma, O.D.

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1245468883
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010188 Issued in IL
Practice address
17110 Warbler LN
Orland Park, IL 60467-8804
Phone
(708) 829-0193
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010188 IL Primary

Addresses

Primary practice location

17110 Warbler LN
Orland Park, IL 60467-8804

Mailing address

11219 Twin Lakes Dr
Orland Park, IL 60467-1338
Phone (708) 829-0193

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
I20091109000576 IL Practitioner - Optometry 9234277443 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010188ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Homer Glen Vision Source LLC Optometrist CurrentSince Apr 21, 2017 Accepting new patients
John J. Gardner, O.D., P.C. Optometrist CurrentSince Apr 21, 2017 Accepting new patients
Devito Eye Care, LLC Optometrist CurrentSince Sep 23, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Mar 1, 2012 Accepting new patients
Visionworks, Inc CurrentSince Mar 1, 2012 Accepting new patients

Locations

9400 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 598-1322

15933 S Bell Rd
Homer Glen, IL 60491
Phone (708) 301-3101

1212 S Naper Blvd
Ste 114
Naperville, IL 60540
Phone (269) 254-3616

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

Organizations & group practices 5

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1245468883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 TWIN LAKES DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671338",
            "telephone_number": "708-829-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 WARBLER LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678804",
            "telephone_number": "708-829-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "ROHIT",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.