Active NPI
Anthony Losurdo, O.D.
- Optometrist
- Downers Grove, IL
National Provider Identifier
1316095995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 46008318
- Practice address
- 1402 Butterfield Rd
Butterfield Plaza
Downers Grove, IL 60515-1031 - Phone
- (630) 629-2025
- Fax
- (630) 629-7640
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- 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 | 46008318 | IL | Primary |
Addresses
Primary practice location
1402 Butterfield Rd
Butterfield Plaza
Downers Grove, IL 60515-1031
Mailing address
2935 Braemore Dr
West Chicago, IL 60185-6437
Phone (630) 740-1149
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46008318 | IL | MD | Optometrist |
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": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316095995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 BRAEMORE DR",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601856437",
"telephone_number": "630-740-1149",
"fax_number": "630-629-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 BUTTERFIELD RD",
"address_2": "BUTTERFIELD PLAZA",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151031",
"telephone_number": "630-629-2025",
"fax_number": "630-629-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOSURDO",
"first_name": "ANTHONY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "46008318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.