Active NPI
Aimee Elizabeth Beluch, OD
- Optometrist
- Gurnee, IL
National Provider Identifier
1366906349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011271
- Practice address
- 6170 Grand Ave Ste 807
Gurnee, IL 60031-4553 - Phone
- (847) 436-0033
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011271 | IL | Primary |
Addresses
Primary practice location
6170 Grand Ave Ste 807
Gurnee, IL 60031-4553
Mailing address
229 Washington Ave
Highwood, IL 60040-1106
Phone (847) 436-0033
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011271 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1366906349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 WASHINGTON AVE",
"city": "HIGHWOOD",
"state": "IL",
"postal_code": "600401106",
"telephone_number": "847-436-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6170 GRAND AVE STE 807",
"city": "GURNEE",
"state": "IL",
"postal_code": "600314553",
"telephone_number": "847-436-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELUCH",
"first_name": "AIMEE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "046011271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.