Ophthalmology Consultants of Illinois, S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OPHTHALMOLOGY CONSULTANTS OF ILLINOIS, S.C.

Practice address

7001 W Archer Ave
Chicago, IL 60638-2201

Phone

(773) 229-8818

Fax

(773) 229-8423

NPI assigned

Apr 26, 2018

Organization subpart

Yes

Parent organization

OPHTHALMOLOGY CONSULTANTS OF IL, SCAs reported in NPPES

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

Authorized official

Name

Babu Narayan Ponakala, MD

Title

Owner

Phone

(630) 964-9800

Specialties & licenses 2

Addresses

Other names 1

• Archer Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ophthalmology Consultants of Illinois Inc

  • Ophthalmology Physician
  • Westmont, IL
  • NPI 1942638549

  O20140109000694

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Ophthalmology Consultants of Illinois Inc

Locations

Practitioners 5

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

• Serene Ann Fakhoury, OD

  • Optometrist
  • Westmont, IL
  • NPI 1780576702
  NPD
• Tatjana Karovic Glasser, OD

  • Optometrist
  • Naperville, IL
  • NPI 1336625169
  NPD
• Reshma John, OD

  • Optometrist
  • Orland Park, IL
  • NPI 1578121349
  NPD
• Diana Nicole Masolak

  • Optometrist
  • Chicago, IL
  • NPI 1144077496
  NPD
• B Narayan Ponakala, MD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1457432742
  NPD

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1467940254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591421",
            "telephone_number": "309-649-8006",
            "fax_number": "888-598-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382201",
            "telephone_number": "773-229-8818",
            "fax_number": "773-229-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY CONSULTANTS OF ILLINOIS, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPHTHALMOLOGY CONSULTANTS OF IL, SC",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "PONAKALA",
        "authorized_official_first_name": "BABU",
        "authorized_official_middle_name": "NARAYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-964-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archer Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Therese Opiola, FNP-C
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• Sharon Opoola
• Joanne Robin Oppenheim, D.D.S.

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.