Organization Active NPI

Robert B Scott Ocularists LTD

  • Prosthetic/Orthotic Supplier
  • Chicago, IL
National Provider Identifier
1265534523
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ROBERT B SCOTT OCULARISTS LTD
Practice address
111 N Wabash Ave
Suite 1620
Chicago, IL 60602-3453
Phone
(312) 782-3558
Fax
(312) 372-4449
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Henry L Blum
Title
Office Manager/Treasurer
Phone
(312) 782-3558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

111 N Wabash Ave
Suite 1620
Chicago, IL 60602-3453

Mailing address

111 N Wabash Ave
Suite 1620
Chicago, IL 60602-3453
Phone (312) 782-3558

Other identifiers 3

IdentifierTypeStateIssuer
130937200OtherDOL/OWCP
0008730224OtherAETNA
0001670147OtherILBC/BS OF ILLINOIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930050925 IL DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Ocularist 6204953433 Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Robert B Scott Ocularists LTD111 N Wabash Ave, Chicago, IL 60602-3453(312) 782-3558 Ocular Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Robert B Scott Ocularists LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 N Wabash Ave
Ste 1620
Chicago, IL 60602
Phone (312) 782-3558

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1265534523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 1620",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023453",
            "telephone_number": "312-782-3558",
            "fax_number": "312-372-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 1620",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023453",
            "telephone_number": "312-782-3558",
            "fax_number": "312-372-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B SCOTT OCULARISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER/TREASURER",
        "authorized_official_telephone_number": "312-782-3558"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL/OWCP",
            "identifier": "130937200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0008730224",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ILLINOIS",
            "identifier": "0001670147",
            "state": "IL"
        }
    ],
    "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 Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.