Individual provider Active NPI

Angela Marie Benkeser, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1437590411
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011049 Issued in IL
Practice address
645 N Michigan Ave Ste 210
Chicago, IL 60611
Phone
(312) 787-2020
NPI assigned
Jul 8, 2013
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 046.011049 IL
Optometrist 152W00000X 046.011049 IL Primary

Addresses

Primary practice location

645 N Michigan Ave Ste 210
Chicago, IL 60611

Mailing address

3057 W Wilson Ave Apt 1
Chicago, IL 60625-4344
Phone (630) 707-0405

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
I20160914000447 IL Practitioner - Optometry 9739304940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

145 Ogden Ave
Downers Grove, IL 60515-2323
Phone (630) 749-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011049ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Aug 15, 2016 Accepting new patients
Rosin Optical Co., Inc. Optometrist CurrentSince Aug 15, 2016 Accepting new patients
Comprehensive Eyecare Physicians PC Past Accepting new patients

Locations

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

100 W Randolph St
Lowr 104
Chicago, IL 60601
Phone (312) 263-4909

1926 W Irving Park Rd
Chicago, IL 60613
Phone (773) 525-0952

3934 W North Ave
Chicago, IL 60647
Phone (773) 667-8383

645 N Michigan Ave
Chicago, IL 60611
Phone (312) 337-4404

645 N Michigan Ave
Ste 210
Chicago, IL 60611
Phone (312) 787-2020

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

100 W Calendar Ave
Lagrange Hlds, IL 60525
Phone (708) 354-0500

307 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-3444

1100 Lake St
Ste 180
Oak Park, IL 60301
Phone (708) 383-7240

7026 W 159th St
Orland Park, IL 60462
Phone (708) 687-0600

Organizations & group practices 4

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1437590411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 W WILSON AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254344",
            "telephone_number": "630-707-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-787-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKESER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": "046.011049",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.