Azzrah Thobani, OD, FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010256 Issued in IL

Practice address

900 Skokie Blvd Ste 150
Northbrook, IL 60062-4038

Phone

(847) 497-2020

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Care by Design, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1932771623
  Medicare reassignment NPD Authorized official
• Wyse Eyecare SC

  • Ophthalmology Physician
  • Northbrook, IL
  • NPI 1316272289
  NPD
• Fenner Plastic Surgery, LTD.

  • Plastic Surgery Physician
  • Kenilworth, IL
  • NPI 1316194285
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1265664502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 W MONROE ST UNIT 509",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072581",
            "telephone_number": "312-451-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 150",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624038",
            "telephone_number": "847-497-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 W Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606225512",
            "country_code": "US",
            "telephone_number": "312-761-9660",
            "fax_number": "312-761-9645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOBANI",
        "first_name": "AZZRAH",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010256",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002806",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Ruth Institute of Integrative Care LLC
• Cherryl Rafael Theanchai, DPT
• Elizabeth Theodosakis, PSY.D., LCPC, CADC
• Therapy Yoga Gymnastics Rocks LLC
• Jennifer Thibault
• Thomas Lim Orthodontics LTD
• Jeena Mary Thomas, PA-C
• Kimberly Thomas
• Teny Philip Thomas, M.D.
• Christina Thompson

• Optometrist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.

Verify at the official NPI Registry.