Yevgeny Grinman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009751 Issued in IL

Practice address

1013 Davis St
Evanston, IL 60201-3609

Phone

(847) 475-1416

Fax

(847) 475-1416

NPI assigned

Aug 5, 2006

Last updated

Sep 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grinman Eye Care Associates

  • Optometrist
  • Evanston, IL
  • NPI 1427067610
  Medicare reassignment NPD Authorized official
• Michael G. Spiegel O.D, P.C.

  • Optometrist
  • Glenview, IL
  • NPI 1427067677
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1356350540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 RONALD RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254562",
            "telephone_number": "847-414-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013609",
            "telephone_number": "847-475-1416",
            "fax_number": "847-475-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINMAN",
        "first_name": "YEVGENY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009751",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James William Griffith, PH.D.
• Justin D. Griffith, MD
• Daniel Yevgeniy Grinberg
• David L. Grinblatt, MD
• Grinman Eye Care Associates
• Anna Grinshpun, LCPC, NCC
• James Stephen Grober, MD
• Beth Grodzin, MSW, MS, CF-SLP
• Adrienne Groff, MSW, LICSW
• Kimberly Grogan

• Optometrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.

Verify at the official NPI Registry.