Prasod C Ramachandran, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008787 Issued in IL

Practice address

3624 W 26TH St
Chicago, IL 60623

Phone

(773) 762-5662

Fax

(773) 762-0721

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Narayanan C Ramachandran Former name

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.

• Izza Professional Corporation

  • Optometrist
  • Naperville, IL
  • NPI 1346084589
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1295893808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60623",
            "telephone_number": "773-762-5662",
            "fax_number": "773-762-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60623",
            "telephone_number": "773-762-5662",
            "fax_number": "773-762-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMACHANDRAN",
        "first_name": "PRASOD",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008787",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARAYANAN",
            "last_name": "RAMACHANDRAN",
            "middle_name": "C",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ram Plastic Surgery, LLC
• Ram Velamati MD SC
• Sathya Ram, M.D.
• Nihar Rama, MD
• Asha R Ramachandran, MD
• Mariallayna Ramadan-Brank, PT, DPT
• Bashar Ramadan, MBBS
• Haitham Ramadan, PT, MS
• Jocelyn A Ramadan, MD
• Nabih M Ramadan, M.D.

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.