James Christopher Wooldridge, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010737 Issued in IL

Practice address

1005 Harlem Ave
Glenview, IL 60025-2935

Phone

(847) 998-4737

Fax

(847) 998-4760

NPI assigned

Sep 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Metro Eye Care PC

  • Optometrist
  • Edwardsville, IL
  • NPI 1598953994
  Medicare reassignment NPD

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1417382896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 N WESTERN AVE",
            "address_2": "STORE SOUTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183759",
            "telephone_number": "773-906-5725",
            "fax_number": "773-906-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HARLEM AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252935",
            "telephone_number": "847-998-4737",
            "fax_number": "847-998-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "JAMES",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01242439",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Woloszynski, P.T.A.
• Brianna Marie Wolski
• Dariusz Jozef Wolski, PTA
• Si Ian Wong
• Gordon J Wood, MD
• Wooldridge, PC
• Jessica Ruth Wray, PA-C
• Christine Wright
• Vanessa Nicole Wrobel, PMHNP
• Megan Wronski, OTR/L

• Optometrist in Glenview, IL
• Providers in Glenview, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.