Active NPI
Oran Linder, O.D.
- Optometrist
- Rock Island, IL
National Provider Identifier
1477541175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008291
- Practice address
- 4032 Blackhawk Road
Rock Island, IL 61201-7164 - Phone
- (309) 786-9734
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046008291 | IL | Primary |
Addresses
Primary practice location
4032 Blackhawk Road
Rock Island, IL 61201-7164
Mailing address
4032 Blackhawk Road
Rock Island, IL 61201-7164
Phone (309) 786-9734
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410047602 | Other | IL | MEDICARE RAILROAD |
| 7215175 | Other | IL | BCBS |
| 046008291 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046008291 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearle Vision Inc | Past | Accepting new patients | |
| J a K Enterprises Inc | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Eyewear Supplier
- Fairview Heights, IL
- NPI 1982744033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1477541175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 BLACKHAWK ROAD",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612017164",
"telephone_number": "309-786-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4032 BLACKHAWK ROAD",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612017164",
"telephone_number": "309-786-9734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDER",
"first_name": "ORAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410047602",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "7215175",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008291",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.