Individual provider Active NPI

Alejandro Jose Ramirez, O.D.

  • Optometrist
  • Bloomingdale, IL
National Provider Identifier
1386817682
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009927 Issued in IL
Practice address
366 W Army Trail Rd Ste 310B
Bloomingdale, IL 60108-5602
Phone
(630) 893-1450
Fax
(630) 893-8655
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009927 IL Primary

Addresses

Primary practice location

366 W Army Trail Rd Ste 310B
Bloomingdale, IL 60108-5602

Mailing address

366 W Army Trail Rd Ste 310B
Bloomingdale, IL 60108-5602
Phone (630) 893-1450

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
I20120605000414 IL Practitioner - Optometry 7719141613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optica Eye Center Associates IncGroup PAC ID 6901100593, 2 clinicians

Practice addresses (Care Compare)

115 N 19TH Ave
Melrose Park, IL 60160-3702

366 W Army Trail Rd
Suite 310B
Bloomingdale, IL 60108-5602
Phone (630) 893-1450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009927ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optica Eye Center Inc Optometrist CurrentSince Jun 5, 2012 Accepting new patients

Locations

115 N 19th Ave
Melrose Park, IL 60160
Phone (708) 344-1010

115 N 19th Ave
Ste A
Melrose Park, IL 60160
Phone (708) 344-1010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1386817682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 W ARMY TRAIL RD STE 310B",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601085602",
            "telephone_number": "630-893-1450",
            "fax_number": "630-893-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 W ARMY TRAIL RD STE 310B",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601085602",
            "telephone_number": "630-893-1450",
            "fax_number": "630-893-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ALEJANDRO",
        "middle_name": "JOSE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.