Active NPI
Kamran Hussain, O.D.
- Optometrist
- Evanston, IL
National Provider Identifier
1265634810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009594
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.