Elijah Ray Risman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011175 Issued in IL

Practice address

2157 N Damen Ave Unit 308
Chicago, IL 60647-6917

Phone

(480) 320-8882

NPI assigned

Apr 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• James M Noth M.D. , LTD

  • Specialist
  • Westmont, IL
  • NPI 1922219450
  NPD (past)

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1376030239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 N DAMEN AVE UNIT 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476917",
            "telephone_number": "480-320-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 N DAMEN AVE UNIT 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476917",
            "telephone_number": "480-320-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISMAN",
        "first_name": "ELIJAH",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rising Health Services, LLC
• Rising Root Nutrition LLC
• Karen Risinger, LMT
• Frank Riska, B.O.C.O.O., L.O.
• Alexandra Adele Riskus, PHARMD
• Gina Rismondo, RDN
• Jennifer Risner
• Richard C Risner, M.D.
• Adriana C Risser, OD
• Lauren Ristin, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.