Active NPI
Alicia Ann Stovell, M.D
- Ophthalmic Technician/Technologist
- Chicago, IL
National Provider Identifier
1477624120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- Practice address
- 8541 S State St
Chicago, IL 60619-5665 - Phone
- (773) 994-9440
- Fax
- (773) 994-8166
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | IL | Primary |
Addresses
Primary practice location
8541 S State St
Chicago, IL 60619-5665
Mailing address
8541 S. State St.
Chicago, IL 60619
Phone (773) 994-9440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1621812 | Other | IL | BLUECROSS PROVIDER NUMBER |
| 7739949440 | Other | IL | VSP .VISION PLAN |
| IL5099 | Other | IL | EYEMED VISION PLAN |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IL. LIC 036-082065 | IL | MD | Ophthalmic Technician/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alicia Stovell, M.D. PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Chicago, IL
- NPI 1235329749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1477624120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8541 S. STATE ST.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60619",
"telephone_number": "773-994-9440",
"fax_number": "773-994-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8541 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606195665",
"telephone_number": "773-994-9440",
"fax_number": "773-994-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVELL",
"first_name": "ALICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS PROVIDER NUMBER",
"identifier": "1621812",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP .VISION PLAN",
"identifier": "7739949440",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VISION PLAN",
"identifier": "IL5099",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.