Individual provider Active NPI

Kamran Hussain, O.D.

  • Optometrist
  • Evanston, IL
National Provider Identifier
1265634810
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009594 Issued in IL
Practice address
635 Chicago Ave
Evanston, IL 60202-2365
Phone
(847) 901-0781
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009594 IL Primary

Addresses

Primary practice location

635 Chicago Ave
Evanston, IL 60202-2365

Mailing address

3429 Riverside Dr
Wilmette, IL 60091-1061
Phone (847) 452-5811

Other practice location 1

101 W. Oakton Street
Des Plaines, IL 60018-1834
Phone (847) 803-0426

Other practice location 2

65 Waukegan Rd
Glenview, IL 60025-5154
Phone (847) 901-0781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1265634810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 RIVERSIDE DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911061",
            "telephone_number": "847-452-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 CHICAGO AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022365",
            "telephone_number": "847-901-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W. Oakton Street",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600181834",
            "country_code": "US",
            "telephone_number": "847-803-0426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600255154",
            "country_code": "US",
            "telephone_number": "847-901-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.