Douglas Anthony Azzaro, O.D.
Individual provider Active NPI Corneal and Contact Management Optometrist · Woodridge, IL
NPI 1346394111 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346394111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Corneal and Contact Management Optometrist 152WC0802X
- Practice address
- 6440 Main St
Suite 100
Woodridge, IL 60517-1752 - Phone
- (630) 824-0101
- Fax
- (630) 824-0105
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seven Bridges Eye Care LLC
Practice addresses (Care Compare)
6440 Main St
Suite 100
Woodridge, IL 60517-1753
Phone (630) 824-0101
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070824000732 | IL | Practitioner - Optometry | 1951493683 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-007886 | IL | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Third Street Eyecare, LTD | Current |
Accepting new patients | |
| Seven Bridges Eye Care LLC | Corneal and Contact Management | Current |
Accepting new patients |
Locations
500 S 3rd St
Ste 105
Geneva, IL 60134
Phone (630) 232-7800
6440 Main St
Ste 100
Woodridge, IL 60517
Phone (630) 824-0101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | IL | Yes |
Addresses
Primary practice location
6440 Main St
Suite 100
Woodridge, IL 60517-1752
Mailing address
3913 Sarazen CT
Woodridge, IL 60517-1490
Other providers in Woodridge, IL
- Athletic and Therapeutic Institute of Naperville, LLC
- Athletico LTD.
- Ats Labs
- Aurora Professional Anesthesia Service PC
- Av Dental of Woodridge
- Nancy Azzaro
- Abeena Baby
- Hannah J Baek
- Megan Baganz
- George A Banuelos
All providers in Woodridge, IL · Corneal and Contact Management Optometrist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.