Individual provider Active NPI

Edward H Shpritz, O.D.

  • Optometrist
  • Chicago HTS, IL
National Provider Identifier
1295817930
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-006687 Issued in IL
Practice address
366 Dixie Hwy
Chicago HTS, IL 60411-1758
Phone
(708) 754-0080
Fax
(708) 754-0089
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-006687 IL Primary

Addresses

Primary practice location

366 Dixie Hwy
Chicago HTS, IL 60411-1758

Mailing address

366 Dixie Hwy
Chicago HTS, IL 60411-1758
Phone (708) 754-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-006687ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Greenspan Professional Corporation Optometrist PastSince Nov 2, 2012 Accepting new patients
Holmberg Optometric LTD Optometrist PastSince Nov 18, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1295817930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 DIXIE HWY",
            "city": "CHICAGO HTS",
            "state": "IL",
            "postal_code": "604111758",
            "telephone_number": "708-754-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 DIXIE HWY",
            "city": "CHICAGO HTS",
            "state": "IL",
            "postal_code": "604111758",
            "telephone_number": "708-754-0080",
            "fax_number": "708-754-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPRITZ",
        "first_name": "EDWARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-006687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.