Individual provider Active NPI

Cynthia L. Kamide, O.D.

  • Optometrist
  • Lombard, IL
National Provider Identifier
1508911231
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008338 Issued in IL
Practice address
175 Yorktown Ctr
Lombard, IL 60148-5507
Phone
(630) 629-9550
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008338 IL Primary

Addresses

Primary practice location

175 Yorktown Ctr
Lombard, IL 60148-5507

Mailing address

179 N Catalpa St
Addison, IL 60101-5244
Phone (312) 914-5931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008338ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Usv Optical Inc Past Accepting new patients
Usv Optical Inc Optometrist Past Accepting new patients

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1508911231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 N CATALPA ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015244",
            "telephone_number": "312-914-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 YORKTOWN CTR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485507",
            "telephone_number": "630-629-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIDE",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.