Active NPI
Angie Abdallah Ghanayem, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1295740678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T-187-TA-721
- Practice address
- 7146 N Harlem Ave
Chicago, IL 60631-1017 - Phone
- (773) 775-3937
- Fax
- (773) 775-3939
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T-187-TA-721 | AL | Primary |
Addresses
Primary practice location
7146 N Harlem Ave
Chicago, IL 60631-1017
Mailing address
7146 N Harlem Ave
Chicago, IL 60631-1017
Phone (773) 775-3937
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7146 N Harlem Ave
Chicago, IL 60631-1017
Phone (773) 775-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-187-TA-721 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buy Contact Lenses LLC | Optometrist | Past | Accepting new patients |
| Illinois College of Optometry | Optometrist | Past | Accepting new patients |
| Glenview Vision Care LLC | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Optometrist
- Chicago, IL
- NPI 1154629160
-
- Optometrist
- Chicago, IL
- NPI 1366368656
-
- Optometrist
- Glenview, IL
- NPI 1023630654
-
- Optometrist
- Chicago, IL
- NPI 1285612390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1295740678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7146 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311017",
"telephone_number": "773-775-3937",
"fax_number": "773-775-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7146 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311017",
"telephone_number": "773-775-3937",
"fax_number": "773-775-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANAYEM",
"first_name": "ANGIE",
"middle_name": "ABDALLAH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "T-187-TA-721",
"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 Jun 17, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.