Individual provider Active NPI

Scott Ullmann, O.D.

  • Optometrist
  • Schaumburg, IL
National Provider Identifier
1396000352
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010578 Issued in IL
Practice address
1318 N Roselle Rd
Suite B
Schaumburg, IL 60195-3646
Phone
(847) 278-3888
Fax
(847) 278-3890
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 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 046010578 IL Primary

Addresses

Primary practice location

1318 N Roselle Rd
Suite B
Schaumburg, IL 60195-3646

Mailing address

1318 N Roselle Rd
Suite B
Schaumburg, IL 60195-3646
Phone (847) 278-3888

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
I20130612000750 IL Practitioner - Optometry 8426297912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

1318 N Roselle Rd B
Schaumburg, IL 60195-3646
Phone (847) 278-3888

145 Ogden Ave
Downers Grove, IL 60515-2323
Phone (630) 749-2020

313 W Dundee Rd
Buffalo Grove, IL 60089-3545
Phone (847) 541-1184

6233 Cermak Rd
Berwyn, IL 60402-2317
Phone (708) 749-2020

6235 Cermak Rd
Berwyn, IL 60402-2317

75 S Sutton Rd
Streamwood, IL 60107-3367
Phone (630) 837-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Mar 27, 2013 Accepting new patients
Rosin Optical Co., Inc. Optometrist CurrentSince Mar 27, 2013 Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

645 N Michigan Ave
Ste 210
Chicago, IL 60611
Phone (312) 787-2020

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

Organizations & group practices 3

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1396000352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 N ROSELLE RD",
            "address_2": "SUITE B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953646",
            "telephone_number": "847-278-3888",
            "fax_number": "847-278-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 N ROSELLE RD",
            "address_2": "SUITE B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953646",
            "telephone_number": "847-278-3888",
            "fax_number": "847-278-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMANN",
        "first_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.