Individual provider Active NPI

Svetlana Olteanu, O.D.

  • Optometrist
  • Mt Prospect, IL
National Provider Identifier
1508287194
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010757 Issued in IL
Practice address
117 S Emerson St
Mt Prospect, IL 60056-3219
Phone
(847) 398-3744
Fax
(847) 749-1154
NPI assigned
Dec 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010757 IL Primary

Addresses

Primary practice location

117 S Emerson St
Mt Prospect, IL 60056-3219

Mailing address

117 S Emerson St
Mt Prospect, IL 60056-3219
Phone (847) 398-3744

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
I20211216002071 IL Practitioner - Optometry 1557752060 Practice locations: Mt Prospect, IL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

117 S Emerson St
Mt Prospect, IL 60056-3219
Phone (847) 398-3744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Eye Care Optometrist CurrentSince Apr 17, 2022 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

117 S Emerson St
Mt Prospect, IL 60056
Phone (847) 398-3744

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/365611/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1508287194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S EMERSON ST",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563219",
            "telephone_number": "847-398-3744",
            "fax_number": "847-749-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S EMERSON ST",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563219",
            "telephone_number": "847-398-3744",
            "fax_number": "847-749-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTEANU",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-27",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Prospect, IL

Sources for this page

Verify at the official NPI Registry.