Individual provider Active NPI

Amanda Michele Dinardi, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1396510517
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011813 Issued in IL
Practice address
1142 S Delano CT W
Chicago, IL 60605-3733
Phone
(312) 583-0499
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011813 IL Primary

Addresses

Primary practice location

1142 S Delano CT W
Chicago, IL 60605-3733

Mailing address

7208 191St St
Tinley Park, IL 60487-9378

Other names 1

  • Amanda Michele Roberts Former name

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
I20241007000822 IL Practitioner - Optometry 5092246611 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011813ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc CurrentSince Aug 15, 2024 Accepting new patients
Luxottica of America Inc. CurrentSince Aug 15, 2024 Accepting new patients

Locations

900 W North Ave
Chicago, IL 60642
Phone (312) 690-3526

1142 S Delano Ct W
Chicago, IL 60605
Phone (312) 583-0499

4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1396510517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 191ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 S DELANO CT W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053733",
            "telephone_number": "312-583-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINARDI",
        "first_name": "AMANDA",
        "middle_name": "MICHELE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ROBERTS",
            "middle_name": "MICHELE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.