Active NPI
Ria Lee, O.D.
- Optometrist
- Park Ridge, IL
National Provider Identifier
1316069479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009752
- Practice address
- 2 W Talcott Rd
Suite 30
Park Ridge, IL 60068-5556 - Phone
- (847) 696-2434
- Fax
- (847) 696-1481
- NPI assigned
- Apr 6, 2007
- Last updated
- Jul 8, 2007
- 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 | 046009752 | IL | Primary |
Addresses
Primary practice location
2 W Talcott Rd
Suite 30
Park Ridge, IL 60068-5556
Mailing address
2 W Talcott Rd
Suite 30
Park Ridge, IL 60068-5556
Phone (847) 696-2434
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 S Route 59
Naperville, IL 60564-5944
Phone (630) 328-2906
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046009752 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Land PC | Optometrist | Current | Accepting new patients |
Locations
1320 S Route 59
Naperville, IL 60564
Phone (630) 328-2900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316069479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 W TALCOTT RD",
"address_2": "SUITE 30",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600685556",
"telephone_number": "847-696-2434",
"fax_number": "847-696-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W TALCOTT RD",
"address_2": "SUITE 30",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600685556",
"telephone_number": "847-696-2434",
"fax_number": "847-696-1481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.