Active NPI
Robert B Scott Ocularists LTD
- Prosthetic/Orthotic Supplier
- Chicago, IL
National Provider Identifier
1265534523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130937200 | Other | DOL/OWCP | |
| 0008730224 | Other | AETNA | |
| 0001670147 | Other | IL | BC/BS OF ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930050925 | IL | DME Supplier - Medical Supply Company With Prosthetic Personnel | 6204953433 | Practice locations: Chicago, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Robert B Scott Ocularists LTD | Ocular Prostheses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Robert B Scott Ocularists LTD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Westchester, IL
- NPI 1801002993
-
dba Robert B Scott Ocularists
- Prosthetic/Orthotic Supplier
- Westchester, IL
- NPI 1811823990
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
- Deangela Roberson, SA
- Jessica Roberson, LCSW
- Robert a. Fajardo, M.D., S.C.
- Robert a. Levine, M.D., S.C.
- Robert a. Reff, M.D., P.C.
- Robert Budziakowski, MD, S.C.
- Robert E. Placzek D.D.S.,P.C.
- Robert H. Lurie Comprehensive Cancer Center of Northwestern University
- Robert Hjertquist, Inc.
- Robert I. Wier DDS, LTD
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.