NPIMap

Organization Active NPI

Ossip Management Solutions, LLC

  • Optometrist
  • Downers Grove, IL
National Provider Identifier
1275931669
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001899A Issued in IN
Legal business name
OSSIP MANAGEMENT SOLUTIONS, LLC
Doing business as
Downers Grove
Practice address
1001 Ogden Ave
Ste 101
Downers Grove, IL 60515-2865
Phone
(630) 969-0405
Fax
(630) 969-1674
NPI assigned
Dec 17, 2014
Organization subpart
Yes
Parent organization
OSSIP MANAGEMENT SOLUTIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Ryan Dabelow
Title
Director of Finace and Insurance
Phone
(317) 254-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 18001899A IN Primary

Addresses

Primary practice location

1001 Ogden Ave
Ste 101
Downers Grove, IL 60515-2865

Mailing address

1001 Ogden Ave
Ste 101
Downers Grove, IL 60515-2865
Phone (630) 969-0402

Other names 1

  • Downers Grove Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ossip Management Solutions8 organizations share this tax ID, including this one
Part of
Ossip Management Solutions

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1275931669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 OGDEN AVE",
            "address_2": "STE 101",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152865",
            "telephone_number": "630-969-0402",
            "fax_number": "630-696-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 OGDEN AVE",
            "address_2": "STE 101",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152865",
            "telephone_number": "630-969-0405",
            "fax_number": "630-969-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSSIP MANAGEMENT SOLUTIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSSIP MANAGEMENT SOLUTIONS, LLC",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "DABELOW",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINACE AND INSURANCE",
        "authorized_official_telephone_number": "317-254-6480"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001899A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downers Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.