Individual provider Active NPI

Ashley Plotkin, O.D.

  • Optometrist
  • Vernon Hills, IL
National Provider Identifier
1275605081
Registry record updated Dec 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46009807 Issued in IL
Practice address
503 Hawthorne Shopping Center
Vernon Hills, IL 60061-2680
Phone
(847) 816-1188
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46009807 IL Primary

Addresses

Primary practice location

503 Hawthorne Shopping Center
Vernon Hills, IL 60061-2680

Mailing address

503 Hawthorne Shopping Center
Hawthorne Shopping Center
Vernon Hills, IL 60061
Phone (847) 367-1016

Other names 1

  • Ashley Bjork Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070806000830 IL Practitioner - Optometry 2668421785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46009807ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Caledonian Health Center Past Accepting new patients
TBHC Medical Services PC Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260057600000",
    "number": "1275605081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 HAWTHORNE SHOPPING CENTER",
            "address_2": "HAWTHORNE SHOPPING CENTER",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-367-1016",
            "fax_number": "847-367-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HAWTHORNE SHOPPING CENTER",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600612680",
            "telephone_number": "847-816-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTKIN",
        "first_name": "ASHLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BJORK",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.