Individual provider Active NPI

Alexis Zimmerman, OD

  • Optometrist
  • Lemont, IL
National Provider Identifier
1386362127
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011658 Issued in IL
Practice address
15900 W 127TH St Ste 221B
Lemont, IL 60439-2914
Phone
(312) 888-9999
Fax
(312) 530-0866
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011658 IL Primary

Addresses

Primary practice location

15900 W 127TH St Ste 221B
Lemont, IL 60439-2914

Mailing address

15900 W 127TH St Ste 221B
Lemont, IL 60439-2914
Phone (321) 888-9999

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220907002922 IL Practitioner - Optometry 5698159861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
95.34
Promoting interoperability
100
Improvement activities
40
Cost
73.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011658ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyman Sicher Eye Associates SC CurrentSince Sep 1, 2022 Accepting new patients
Wyman Sicher Eye Associates SC Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Union Eyes, LLC Optometrist CurrentSince Nov 17, 2024 Accepting new patients
Union Eyes, LLC Optometrist CurrentSince Nov 17, 2024 Accepting new patients

Locations

15900 W 127th St
Ste 221B
Lemont, IL 60439
Phone (312) 888-9999

8921 N Wood Sage Rd
Peoria, IL 61615
Phone (309) 243-2400

93 Eastgate Dr
Washington, IL 61571
Phone (309) 243-2400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1386362127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST STE 221B",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392914",
            "telephone_number": "321-888-9999",
            "fax_number": "312-530-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST STE 221B",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392914",
            "telephone_number": "312-888-9999",
            "fax_number": "312-530-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ALEXIS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

Verify at the official NPI Registry.