Rasa Tamulavichus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009691 Issued in IL

Practice address

2500 W 95TH St
Walmart Vision Center
Evergreen Park, IL 60805-2807

Phone

(708) 229-0946

Fax

(708) 229-0973

NPI assigned

Oct 15, 2006

Last updated

Jan 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Rasa Graff Other name

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

State licenses

Practice roles

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.

• Rasa Tamulavichus OD PC

  • Optometrist
  • Evergreen Park, IL
  • NPI 1629267976
  Authorized official Same address or phone
• Easy Optical Eye Care Inc.

  • Optometrist
  • Chicago, IL
  • NPI 1811392517
  NPD (past)
• Luxottica of America Inc.

  dba Lenscrafters #011

  • Eyewear Supplier
  • Arlington Heights, IL
  • NPI 1588738546
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1427148725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16974",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606160980",
            "telephone_number": "312-550-7034",
            "fax_number": "708-229-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 95TH ST",
            "address_2": "WALMART VISION CENTER",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052807",
            "telephone_number": "708-229-0946",
            "fax_number": "708-229-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMULAVICHUS",
        "first_name": "RASA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RASA",
            "last_name": "GRAFF",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Herme O Sylora, M.D.
• James A Sylora, MD
• John Szczepaniak, O.D.
• Tablets Pharmacy Inc.
• Tablets Pharmacy Inc. (Tablets Pharmacy Inc - LTC)
• Audrey Lynn Tanksley, MD
• Marilynn Tape, DPT
• Destiny Makyia Taylor
• Patricia Maria Taylor, MSW, LSW
• Kelli Teegen, OTR

• Optometrist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.