Hanin R Ahmad, OD
Individual provider Active NPI Optometrist · Burr Ridge, IL
NPI 1437675907 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1437675907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046011133 (IL)
- Practice address
- 430 Village Center Dr.
Burr Ridge, IL 60455 - Phone
- (630) 325-4324
- Fax
- (630) 325-4378
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190624000087 | IL | Practitioner - Optometry | 9234463498 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanin Ahmad O.D. Inc | Optometrist | Current |
Accepting new patients |
| Lenscrafters | Optometrist | Past |
Accepting new patients |
Locations
9265 159th St
Orland Hills, IL 60487
Phone (708) 349-4340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011133 | IL | Yes |
Addresses
Primary practice location
430 Village Center Dr.
Burr Ridge, IL 60455
Mailing address
430 Village Center Dr
Burr Ridge, IL 60527-4513
Phone (630) 325-4324
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.