Active NPI
William O.P. Dorsey III, M.D.
- Ophthalmology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Practice address
- 7531 S Stony Island Ave
Suite 261
Chicago, IL 60649-3954 - Phone
- (773) 947-7861
- Fax
- (773) 947-2820
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | IL | Primary |
Addresses
Primary practice location
7531 S Stony Island Ave
Suite 261
Chicago, IL 60649-3954
Mailing address
7531 S Stony Island Ave
Suite 261
Chicago, IL 60649-3954
Phone (773) 947-7861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021609577 | Other | IL | BLUE CROSS |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Jackson Park Hospital Foundation | Past | Accepting new patients |
Locations
7531 S Stony Island Ave
#261
Chicago, IL 60649
Phone (773) 847-7861
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
7531 S Stony Island Ave
Ste 261
Chicago, IL 60649
Phone (773) 947-7861
Interoperability endpoints
- williamdorsey@jph.medalliesdirect.net
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1396250304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356367742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7531 S STONY ISLAND AVE",
"address_2": "SUITE 261",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493954",
"telephone_number": "773-947-7861",
"fax_number": "773-947-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7531 S STONY ISLAND AVE",
"address_2": "SUITE 261",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493954",
"telephone_number": "773-947-7861",
"fax_number": "773-947-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "WILLIAM",
"middle_name": "O.P.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0021609577",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.