Individual provider Active NPI

Rosaline Eunbee Cha, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1255778379
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010644 Issued in IL
Practice address
3241 S Michigan Ave
Chicago, IL 60616-3878
Phone
(312) 225-6200
Fax
(312) 949-7389
NPI assigned
May 30, 2013
Last updated
May 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010644 IL Primary

Addresses

Primary practice location

3241 S Michigan Ave
Chicago, IL 60616-3878

Mailing address

3241 S Michigan Ave
Chicago, IL 60616-3878
Phone (312) 225-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200128002562 OR Practitioner - Optometry 7214177690 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abc Optometric PCGroup PAC ID 0446343321, 5 clinicians

Practice addresses (Care Compare)

2991 SE 75TH Ave
Hillsboro, OR 97123-6210
Phone (763) 762-3247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Linn Vision Center Inc Optometrist CurrentSince Mar 13, 2020 Accepting new patients
Abc Optometric PC Optometrist CurrentSince Dec 15, 2020 Accepting new patients
Murray Scholls Optique Inc Optometrist CurrentSince Mar 13, 2020 Accepting new patients
Tigard Vision Center, Inc. Optometrist CurrentSince Jan 2, 2020 Accepting new patients
Northwest Optometric Associates Inc Optometrist Past Accepting new patients

Locations

14600 SW Murray Scholls Dr
Ste 104
Beaverton, OR 97007
Phone (503) 579-6695

1522 SW Sunset Blvd
Portland, OR 97239
Phone (503) 473-8039

20661 SW Roy Rogers Rd
Ste 503
Sherwood, OR 97140
Phone (503) 625-5599

9169 SW Burnham St
Tigard, OR 97223
Phone (503) 539-5115

2020 8th Ave
Ste A
West Linn, OR 97068
Phone (503) 303-5591

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, 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": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1255778379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163878",
            "telephone_number": "312-225-6200",
            "fax_number": "312-949-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163878",
            "telephone_number": "312-225-6200",
            "fax_number": "312-949-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "ROSALINE",
        "middle_name": "EUNBEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.