Active NPI
Wateen Alami, OD
- Optometrist
- Chicago, IL
National Provider Identifier
1265110654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011767
- Practice address
- 3241 S Michigan Ave Ste 1
Chicago, IL 60616-3878 - Phone
- (312) 949-7119
- Fax
- (312) 949-7617
- NPI assigned
- Jul 6, 2023
- Last updated
- Aug 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Optometrist | 152W00000X | 046011767 | IL | Primary |
Addresses
Primary practice location
3241 S Michigan Ave Ste 1
Chicago, IL 60616-3878
Mailing address
3241 S Michigan Ave Ste 1
Chicago, IL 60616-3878
Phone (312) 949-7119
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois College of Optometry | Optometrist | Current | Accepting new patients |
Locations
3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200
3241 S Michigan Ave
Ste 1
Chicago, IL 60616
Phone (312) 225-6200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1265110654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3241 S MICHIGAN AVE STE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163878",
"telephone_number": "312-949-7119",
"fax_number": "312-949-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3241 S MICHIGAN AVE STE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606163878",
"telephone_number": "312-949-7119",
"fax_number": "312-949-7617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAMI",
"first_name": "WATEEN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.