Active NPI
Huma I. Jeelani, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1295020113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010495
- Practice address
- 100 W Randolph St
Suite 104
Chicago, IL 60601-3218 - Phone
- (312) 263-4909
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4667 | FL | |
| Optometrist | 152W00000X | 9075 | TX | |
| Optometrist | 152W00000X | 046010495 | IL | Primary |
Addresses
Primary practice location
100 W Randolph St
Suite 104
Chicago, IL 60601-3218
Mailing address
13400 S. RT. 59
Suite 116-308
Plainfield, IL 60585
Other practice location 1
460 S Weber Rd
Romeoville, IL 60446-6570
Phone (815) 221-4731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9075 | TX | MD | Professional Counselor |
| OPC 4667 | FL | MD | Optometrist |
| 046010495 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295020113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 S. RT. 59",
"address_2": "SUITE 116-308",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W RANDOLPH ST",
"address_2": "SUITE 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013218",
"telephone_number": "312-263-4909"
}
],
"practiceLocations": [
{
"address_1": "460 S Weber Rd",
"address_purpose": "LOCATION",
"city": "Romeoville",
"state": "IL",
"postal_code": "604466570",
"country_code": "US",
"telephone_number": "815-221-4731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEELANI",
"first_name": "HUMA",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4667",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9075",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.