Individual provider Active NPI

William R Atkinson, O.D.

  • Optometrist
  • Algonquin, IL
National Provider Identifier
1396752671
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008508 Issued in IL
Practice address
2100 N. Huntington Drive
Unit a
Algonquin, IL 60102-5940
Phone
(815) 338-0107
Fax
(815) 338-5104
NPI assigned
Aug 1, 2006
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008508 IL Primary

Addresses

Primary practice location

2100 N. Huntington Drive
Unit a
Algonquin, IL 60102-5940

Mailing address

2100 N. Huntington Drive
Unit a
Alganquin, IL 60102-5940
Phone (317) 254-6480

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
I20040204000907 IL Practitioner - Optometry 1456244714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atkinson Eye Care PCGroup PAC ID 6901958255, 2 clinicians

Practice addresses (Care Compare)

2100 Huntington Dr N a
Algonquin, IL 60102-5940
Phone (847) 854-5700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
046-008508ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Atkinson Eye Care, P.C. Optometrist CurrentSince Apr 30, 2014 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co., Inc. CurrentSince Dec 24, 2016 Accepting new patients
Eye Care at Home P.C. Optometrist CurrentSince Oct 23, 2023 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Dec 24, 2016 Accepting new patients
A & M Optical Optometrist PastSince Oct 22, 2003 Accepting new patients

Locations

126 S Randall Rd
Algonquin, IL 60102
Phone (847) 854-5700

2100 Huntington Dr N
Algonquin, IL 60102

2100 Huntington Dr N
Ste A
Algonquin, IL 60102
Phone (815) 338-0107

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

Organizations & group practices 6

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1396752671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N. HUNTINGTON DRIVE",
            "address_2": "UNIT A",
            "city": "ALGANQUIN",
            "state": "IL",
            "postal_code": "601025940",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N. HUNTINGTON DRIVE",
            "address_2": "UNIT A",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025940",
            "telephone_number": "815-338-0107",
            "fax_number": "815-338-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.