Individual provider Active NPI

Rasa Tharp, O.D.

  • Optometrist
  • Crestwood, IL
National Provider Identifier
1508012485
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010144 Issued in IL
Practice address
4700 135TH St
Crestwood, IL 60418-1405
Phone
(708) 489-6951
Fax
(708) 489-8012
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010144 IL Primary

Addresses

Primary practice location

4700 135TH St
Crestwood, IL 60418-1405

Mailing address

Kaye LN
Hinsdale, IL 60527-6019

Other identifiers 1

IdentifierTypeStateIssuer
046010144MedicaidIL

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
I20090826000679 IL Practitioner - Optometry 4688721368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 S267 Kaye LN
Willowbrook, IL 60527-6019
Phone (815) 919-8291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2561OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation PastSince Mar 1, 2021 Accepting new patients
Visionworks, Inc Past Accepting new patients
Bolingbrook Eye Care & Eyewear Gallery, LLC Optometrist PastSince May 22, 2017 Accepting new patients
Linas a. Sidrys M.D. Past Accepting new patients
Advance Vision Care PC Optometrist Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients
Cherokee Nation Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1508012485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KAYE LN",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605276019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 135TH ST",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181405",
            "telephone_number": "708-489-6951",
            "fax_number": "708-489-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARP",
        "first_name": "RASA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010144",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, IL

Sources for this page

Verify at the official NPI Registry.