Active NPI
Thomas Leonard Ruiz
- Optometrist
- Woodridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011381
- Practice address
- 2305 63Rd St
Woodridge, IL 60517-1300 - Phone
- (630) 463-0990
- NPI assigned
- Sep 18, 2019
- Last updated
- Jul 6, 2023
- 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 | 046.011381 | IL | Primary |
Addresses
Primary practice location
2305 63Rd St
Woodridge, IL 60517-1300
Mailing address
8569 Sandalwood Dr
Darien, IL 60561-1706
Phone (773) 332-0007
Other practice location 1
13460 S Archer Ave
Lemont, IL 60439-4755
Phone (630) 243-1492
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2305 63Rd St
Woodridge, IL 60517-1300
Phone (630) 463-0990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mint Vision PLLC | Optometrist | Current | Accepting new patients |
| In Focus Eyecare P.C. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
Locations
750 S Randall Rd
Algonquin, IL 60102
Phone (847) 458-5341
5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020
13460 S Archer Ave
Lemont, IL 60439
Phone (630) 243-6518
10550 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 499-3911
2305 63rd St
Woodridge, IL 60517
Phone (630) 463-0990
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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.
-
- Optometrist
- Woodridge, IL
- NPI 1003545070
-
- Optometrist
- Algonquin, IL
- NPI 1053723908
-
- Optometrist
- Chicago, IL
- NPI 1154297752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1316597594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8569 SANDALWOOD DR",
"city": "DARIEN",
"state": "IL",
"postal_code": "605611706",
"telephone_number": "773-332-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 63RD ST",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171300",
"telephone_number": "630-463-0990"
}
],
"practiceLocations": [
{
"address_1": "13460 S Archer Ave",
"address_purpose": "LOCATION",
"city": "Lemont",
"state": "IL",
"postal_code": "604394755",
"country_code": "US",
"telephone_number": "630-243-1492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "THOMAS",
"middle_name": "LEONARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-18",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.