Individual provider Active NPI

Arpirut Chinosornvatana, O.D.

  • Optometrist
  • Glenview, IL
National Provider Identifier
1306159348
Registry record updated Mar 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010368 Issued in IL
Practice address
2241 Willow Rd
(Inside Target Optical)
Glenview, IL 60025-7636
Phone
(847) 904-1352
Fax
(847) 486-5282
NPI assigned
Jul 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010368 IL Primary

Addresses

Primary practice location

2241 Willow Rd
(Inside Target Optical)
Glenview, IL 60025-7636

Mailing address

408 S Birchwood Dr
Naperville, IL 60540-5031
Phone (847) 414-0903

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000839 IL Practitioner - Optometry 7416143920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Organizations & group practices 1

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520726400000",
    "number": "1306159348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BIRCHWOOD DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405031",
            "telephone_number": "847-414-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 WILLOW RD",
            "address_2": "(INSIDE TARGET OPTICAL)",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257636",
            "telephone_number": "847-904-1352",
            "fax_number": "847-486-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINOSORNVATANA",
        "first_name": "ARPIRUT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2018-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.