Kelly D Oliver-Ernst, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010327 Issued in IL

Practice address

534 N Rand Rd
Lake Zurich, IL 60047-3103

Phone

(847) 550-5228

Fax

(847) 550-5232

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gustafson Eye Care Clinics, LTD.Group PAC ID 6305026899, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gustafson Eye Care Clinics, LTD.

  • Optometrist
  • Palatine, IL
  • NPI 1215138771
  Medicare reassignment Care Compare group NPD
• Oneopto Il 1 PLLC

  • Optometrist
  • Lake Zurich, IL
  • NPI 1699647016
  NPD

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1487967329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 N RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473103",
            "telephone_number": "847-550-5228",
            "fax_number": "847-550-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473103",
            "telephone_number": "847-550-5228",
            "fax_number": "847-550-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER-ERNST",
        "first_name": "KELLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Age Dental Associates
• Wanda Nguyen, DMD
• Jenny Nilsen, L.P.C.
• Noaa
• Emily O'Shea, DPT
• Omni Youth Services
• Oneopto Il 1 PLLC
• Grace Orofino, LCPC
• Jennie Lynn Ostrander, M.A.
• P.R. Optics, LLC

• Optometrist in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.