NPIMap

Organization Active NPI

CMR LLC

Doing business as Walter Eye Clinic

  • Optometrist
  • Tinley Park, IL
National Provider Identifier
1295166510
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009971 Issued in IL
Legal business name
CMR LLC
Doing business as
Walter Eye Clinic
Practice address
16630 Oak Park Ave
Tinley Park, IL 60477-1755
Phone
(708) 532-0800
NPI assigned
Dec 12, 2013
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Chirag Rana, ODNPI 1851598908
Title
President
Phone
(708) 724-9011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046009971 IL Primary

Addresses

Primary practice location

16630 Oak Park Ave
Tinley Park, IL 60477-1755

Mailing address

16630 Oak Park Ave
Tinley Park, IL 60477-1755
Phone (708) 532-0800

Other names 1

  • Walter Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140109000853 IL Part B Supplier - Clinic/Group Practice 1951539329 Receives reassigned benefits from 3 practitioners
Practice locations: Tinley Park, IL

National Provider Directory

National Provider Directory

Locations

16630 Oak Park Ave
Tinley Park, IL 60477
Phone (708) 481-8722

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1295166510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16630 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771755",
            "telephone_number": "708-532-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16630 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771755",
            "telephone_number": "708-532-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-724-9011",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.