Individual provider Active NPI

Hussam Saras

  • Optometrist
  • Downers Grove, IL
National Provider Identifier
1508341470
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011233 Issued in IL
Practice address
3800 Highland Ave Ste 100
Downers Grove, IL 60515-1559
Phone
(630) 517-2000
Fax
(855) 802-9787
NPI assigned
Sep 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011233 IL Primary

Addresses

Primary practice location

3800 Highland Ave Ste 100
Downers Grove, IL 60515-1559

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20200708001435 IL Practitioner - Optometry 1254685779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

138 N York St
Elmhurst, IL 60126-2806
Phone (630) 279-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011233ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Apr 17, 2020 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Apr 17, 2020 Accepting new patients

Locations

2010 W Wilson St
Batavia, IL 60510
Phone (630) 406-0606

310 S Weber Rd
Bolingbrook, IL 60490
Phone (630) 771-0600

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

3800 Highland Ave
Ste 100
Downers Grove, IL 60515
Phone (630) 517-2000

138 N York St
Elmhurst, IL 60126
Phone (630) 279-2020

104 S Washington St
Hinsdale, IL 60521
Phone (630) 323-1100

3064 Plainfield Rd
Joliet, IL 60435
Phone (815) 744-6735

2555 W 75th St
Ste 119
Naperville, IL 60540
Phone (630) 225-7020

1000 E Ogden Ave
Naperville, IL 60563
Phone (630) 355-9010

122 N Oak Park Ave
Oak Park, IL 60301
Phone (708) 524-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1508341470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HIGHLAND AVE STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151559",
            "telephone_number": "630-517-2000",
            "fax_number": "855-802-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAS",
        "first_name": "HUSSAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.