Active NPI
Paul A Foreman, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1356310841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 6601 N Avondale Ave
Suite 102
Chicago, IL 60631-1572 - Phone
- (773) 792-1011
- Fax
- (773) 889-0224
- NPI assigned
- Mar 16, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
6601 N Avondale Ave
Suite 102
Chicago, IL 60631-1572
Mailing address
6601 N Avondale Ave
Suite 102
Chicago, IL 60631-1572
Phone (773) 792-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1622243 | Other | IL | BCBS IL GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046007804 | IL | MD | Optometrist |
| 01819 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heath Family Eyecare Inc | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Past | Accepting new patients | |
| Foreman & Stack OD PC | Optometrist | Past | Accepting new patients |
| Senior Eye Associates SC | Optometrist | Past | Accepting new patients |
| Geriatric Vision Care LLC | Optometrist | Past | Accepting new patients |
| James M Noth M.D. , LTD | Past | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Past | Accepting new patients |
| Jeffrey S Foreman OD | Optometrist | Past | Accepting new patients |
Locations
1511 1st Ave S
Fort Dodge, IA 50501
Phone (515) 955-7777
Organizations & group practices 8
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.
-
- Optometrist
- Glen Ellyn, IL
- NPI 1083803050
-
- Specialist
- Westmont, IL
- NPI 1922219450
-
- Optometrist
- Chicago, IL
- NPI 1316088305
-
- Optometrist
- Fort Dodge, IA
- NPI 1871788109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1356310841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 N AVONDALE AVE",
"address_2": "SUITE 102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311572",
"telephone_number": "773-792-1011",
"fax_number": "773-889-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 N AVONDALE AVE",
"address_2": "SUITE 102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311572",
"telephone_number": "773-792-1011",
"fax_number": "773-889-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "PAUL",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL GROUP",
"identifier": "1622243",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Christina Ofelia Foreman, M.D., M.P.H.
- Jeremy Foreman
- Katie Foreman, O.D.
- Michael Trent Foreman, MD
- Molly M Foreman, DPT
- Randall Foreman, LCPC
- Foresight Behavioral Health Clinic of Humboldt Park LLC
- Forest Edge Healthcare & Rehabilitation Center, LP (Bria of Forest Edge)
- Forest Haven Counseling, PLLC
- Forest Path Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.