Individual provider Active NPI

Elizabeth Casper, OD

  • Optometrist
  • La Grange, IL
National Provider Identifier
1467127688
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011565 Issued in IL
Practice address
52 S la Grange Rd
La Grange, IL 60525-2429
Phone
(708) 469-7901
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011565 IL Primary

Addresses

Primary practice location

52 S la Grange Rd
La Grange, IL 60525-2429

Mailing address

5236 W 107TH St
Oak Lawn, IL 60453-6302
Phone (708) 642-9903

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
I20211220001782 IL Practitioner - Optometry 2062803406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Eye Care LTDGroup PAC ID 2567565088, 8 clinicians

Practice addresses (Care Compare)

622 N Clark St
Chicago, IL 60660-1208
Phone (773) 743-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011565ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Eye Care LTD Optometrist CurrentSince Mar 24, 2025 Accepting new patients
Randall R Ricketts OD LLC Optometrist PastSince Aug 15, 2021 Accepting new patients

Locations

1903 W Division St
Chicago, IL 60622

Organizations & group practices 2

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1467127688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 W 107TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536302",
            "telephone_number": "708-642-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 S LA GRANGE RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252429",
            "telephone_number": "708-469-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPER",
        "first_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.