Individual provider Active NPI

Romaya Ahmed, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1326812942
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011810 Issued in IL
Practice address
709 S Seeley St
Chicago, IL 60612-5554
Phone
(312) 262-5725
NPI assigned
Nov 14, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011810 IL Primary

Addresses

Primary practice location

709 S Seeley St
Chicago, IL 60612-5554

Mailing address

808 N Wells St Unit 1203
Chicago, IL 60610-3650
Phone (614) 620-0298

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
I20231206000562 IL Practitioner - Optometry 8325497175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Q Optique at Imd, Inc.Group PAC ID 0143652586, 2 clinicians

Practice addresses (Care Compare)

709 S Seeley St
Chicago, IL 60612-5554
Phone (312) 736-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011810ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Q Optique at Imd, Inc. Optometrist CurrentSince Nov 20, 2023 Accepting new patients

Locations

722 Buffalo Grove Rd
Buffalo Grove, IL 60089
Phone (847) 947-8875

709 S Seeley St
Chicago, IL 60612
Phone (312) 262-5725

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1326812942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N WELLS ST UNIT 1203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103650",
            "telephone_number": "614-620-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S SEELEY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606125554",
            "telephone_number": "312-262-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ROMAYA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.