Individual provider Active NPI

Mara Teresa Bedell

  • Optometrist
  • Chicago, IL
National Provider Identifier
1336998293
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011870 Issued in IL
Practice address
1725 W Harrison St Ste 906
Chicago, IL 60612-3848
Phone
(312) 733-7566
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 046011870 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 906
Chicago, IL 60612-3848

Mailing address

3412 N Janssen Ave Unit 2
Chicago, IL 60657-1322
Phone (440) 665-7010

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
I20240805003839 IL Practitioner - Optometry 8729525969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

6235 Cermak Rd
Berwyn, IL 60402-2370
Phone (708) 748-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc. Optometrist CurrentSince Aug 25, 2025 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Aug 25, 2025 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Illinois College of Optometry Optometrist CurrentSince Jul 19, 2024 Accepting new patients
Rosin Optical Co., Inc. Optometrist Past Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

3241 S Michigan Ave
Ste 1
Chicago, IL 60616
Phone (312) 225-6200

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

1725 W Harrison St
Ste 906
Chicago, IL 60612
Phone (312) 733-7566

1926 W Irving Park Rd
Chicago, IL 60613
Phone (773) 525-0952

645 N Michigan Ave
Chicago, IL 60611
Phone (312) 337-4404

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

4196 Il Route 83
Long Grove, IL 60047
Phone (847) 955-9999

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1336998293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 N JANSSEN AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571322",
            "telephone_number": "440-665-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 906",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123848",
            "telephone_number": "312-733-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDELL",
        "first_name": "MARA",
        "middle_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.