Lara Gutierrez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.009525 Issued in IL

Practice address

1730 W Fullerton Ave
Chicago, IL 60614-1900

Phone

(773) 327-3000

Fax

(773) 327-3015

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverpoint Eye Care LLCGroup PAC ID 0749719771, 6 clinicians

Six Corners Eye Care, LLCGroup PAC ID 4587193594, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Riverpoint Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1194546614
  Medicare reassignment Care Compare group NPD
• Six Corners Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1629899141
  Medicare reassignment Care Compare group NPD
• Old Town Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1861213472
  Medicare reassignment NPD
• Thaddeus, LTD

  • Optometrist
  • Chicago, IL
  • NPI 1831120005
  Medicare reassignment NPD
• Vidulich, Blase & Valentino, P.C.

  • Optometrist
  • Chicago, IL
  • NPI 1568443257
  Medicare reassignment NPD
• Weltzer-Maite, P.C.

  • Optometrist
  • Chicago, IL
  • NPI 1780615955
  Medicare reassignment NPD
• Wilma, LTD

  • Optometrist
  • Melrose Park, IL
  • NPI 1831120088
  Medicare reassignment NPD
• Melrose Park Eye Care LLC

  • Optometrist
  • Melrose Park, IL
  • NPI 1073334595
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1255356283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 W 62ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294619",
            "telephone_number": "773-327-3000",
            "fax_number": "773-327-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-3000",
            "fax_number": "773-327-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Yum Gutierrez, OTR/L
• Jorge Alejandro Gutierrez III, MD
• Juliet Marie Gutierrez
• Karin Lorene Gutierrez, LPC
• Kassandra Gutierrez, RBT
• Lilia Yvette Gutierrez, MHP
• Maya Consuelo Gutierrez, L.AC./ M.S.O.M.
• Mayra Gutierrez
• Mercedes A Gutierrez
• Natalie Gutierrez

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.

Verify at the official NPI Registry.