Selma Hannoun, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5312 Issued in MA

Practice address

7050 S Cicero Ave
Bedford Park, IL 60638-6402

Phone

(708) 496-0680

NPI assigned

Sep 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

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.

• Dr. Jorge a. Benavente Optometrist PC

  • Optometrist
  • Munster, IN
  • NPI 1063740744

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550966400000",
    "number": "1508053224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 BEACON ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024743304",
            "telephone_number": "708-541-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 S CICERO AVE",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386402",
            "telephone_number": "708-496-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNOUN",
        "first_name": "SELMA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2019-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1537",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5312",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firstcare Urgent Care Center P.C.
• Denise Molina Furlong, MD
• Anolan Garcia Hernandez
• Robert R Gehrke, O.D.
• Raj Kamal Goyal, M.D., M.P.H.
• Lindsay R. Hubbell, PHARMD
• Linda Jafilan, PHARMD
• Andrew Kanelos
• Joseph Patrick Laluya, D.O.
• Mark Justin Alvendia Lim, RPH

• Optometrist in Bedford Park, IL
• Providers in Bedford Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.