Brian Marc Dembo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008000 Issued in IL

Practice address

1545 Waukegan Rd
Glenview, IL 60025-2166

Phone

(847) 998-6700

Fax

(847) 998-1566

NPI assigned

Jun 28, 2006

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 3

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forsight Vision, LTDGroup PAC ID 6709964513, 5 clinicians

Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Sheridan, O.D.

  • Optometrist
  • Glenview, IL
  • NPI 1700091717
  Medicare reassignment

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.

• Forsight Vision, LTD

  • Optometrist
  • Long Grove, IL
  • NPI 1386816320
  Medicare reassignment Care Compare group NPD
• Rosin Optical Co., Inc

  • Optometrist
  • Berwyn, IL
  • NPI 1235343641
  Medicare reassignment Care Compare group NPD
• Zeifert Eye Care, LTD

  • Optometrist
  • Highland Park, IL
  • NPI 1437513041
  Medicare reassignment NPD
• Rosin Optical Co. Inc.

  • Optometrist
  • Skokie, IL
  • NPI 1750945408
  NPD
• Rosin Optical Co. Inc.

  • Optometrist
  • Orland Park, IL
  • NPI 1962972778
  NPD
• Rosin Optical Co., Inc.

  • Optometrist
  • Chicago, IL
  • NPI 1073057634
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1437186871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252166",
            "telephone_number": "847-998-6700",
            "fax_number": "847-998-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252166",
            "telephone_number": "847-998-6700",
            "fax_number": "847-998-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBO",
        "first_name": "BRIAN",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01684637",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR FEDERAL",
            "identifier": "021151001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Delauter-Moore
• Jose V Deleon, MD
• Alicia Dellinger, PT
• Alexander Jesus Delpino
• Brooke Morgan Demaio
• Rachel Merrin Demuro, OTR/L
• Greg D Denenberg, MD
• Dentistar PC
• Ewa Depczynska, COTA/ L
• Mihir Samir Desai, MD

• 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 Dec 5, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.