Individual provider Active NPI

William B Brand, OD

  • Optometrist
  • Arlington Heights, IL
National Provider Identifier
1316098148
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0466654 Issued in IL
Practice address
1794 S Arlington Heights Rd
Arlington Heights, IL 60005-3727
Phone
(847) 640-1211
Fax
(847) 640-1218
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0466654 IL Primary

Addresses

Primary practice location

1794 S Arlington Heights Rd
Arlington Heights, IL 60005-3727

Mailing address

1794 S Arlington Heights Rd
Arlington Heights, IL 60005-3727
Phone (847) 640-1211

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
I20081230000163 IL Practitioner - Optometry 7618039603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0466654ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr William B Brand S.C. Optometrist CurrentSince Oct 14, 2008 Accepting new patients

Locations

1794 S Arlington Heights Rd
#R
Arlington Heights, IL 60005
Phone (847) 640-1211

1794 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 640-1211

320 W Roosevelt Rd
Lombard, IL 60148
Phone (630) 629-5367

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1316098148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053727",
            "telephone_number": "847-640-1211",
            "fax_number": "847-640-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053727",
            "telephone_number": "847-640-1211",
            "fax_number": "847-640-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0466654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.