Ingryd J Lorenzana, OD

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

046008743 Issued in IL

Practice address

2 Executive CT Ste 3
South Barrington, IL 60010-9507

Phone

(847) 891-8003

Fax

(847) 891-8045

NPI assigned

Nov 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• Lakeshore Eye Physicians and Surgeons SC

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1548275985
  NPD (past)

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1295726040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE CT STE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109507",
            "telephone_number": "847-891-8003",
            "fax_number": "847-891-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE CT STE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109507",
            "telephone_number": "847-891-8003",
            "fax_number": "847-891-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZANA",
        "first_name": "INGRYD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-01",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008743",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IL",
            "license": "046008743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Transformation Integrative Medicine PLLC
• Jeffery Linden, DDS
• Martha C. Linn, D.C.
• Kathleen Michele Lockwood I
• Thomas Charles Long
• Lorenzana, SC
• Delia Luna
• Luxottica of America Inc.
• Sohel A Majeed, DPM
• Namirah Malik

• Pediatric Optometrist in South Barrington, IL
• Providers in South Barrington, IL by specialty
• Pediatric Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.