Individual provider Active NPI

Dennis Delee, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1306829601
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46-006526 Issued in IL
Practice address
209 S Lasalle St
Ste. 120
Chicago, IL 60604-1219
Phone
(312) 332-4461
Fax
(312) 332-4461
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 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 46-006526 IL Primary

Addresses

Primary practice location

209 S Lasalle St
Ste. 120
Chicago, IL 60604-1219

Mailing address

209 S Lasalle St
Ste. 120
Chicago, IL 60604-1219
Phone (312) 332-4461

Other identifiers 2

IdentifierTypeStateIssuer
118137OtherILEYE MED VISION
3123324461OtherILVISION SERVICE PLAN ID

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
I20050926000113 IL Practitioner - Optometry 9537193008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46-006526ILMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1306829601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S LASALLE ST",
            "address_2": "STE. 120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606041219",
            "telephone_number": "312-332-4461",
            "fax_number": "312-332-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S LASALLE ST",
            "address_2": "STE. 120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606041219",
            "telephone_number": "312-332-4461",
            "fax_number": "312-332-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEE",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-006526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED VISION",
            "identifier": "118137",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN ID",
            "identifier": "3123324461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.