Active NPI
James M Stevens, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1508920349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-007603
- Practice address
- 1601 N Harlem Ave
Chicago, IL 60707-4303 - Phone
- (773) 836-4110
- Fax
- (773) 637-1109
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-007603 | IL | Primary |
Addresses
Primary practice location
1601 N Harlem Ave
Chicago, IL 60707-4303
Mailing address
2407 Newport Dr
Naperville, IL 60565-3166
Phone (815) 439-3064
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046-007603 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Vision Corporation | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Mason, OH
- NPI 1508903295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508920349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 NEWPORT DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605653166",
"telephone_number": "815-439-3064",
"fax_number": "815-439-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "607074303",
"telephone_number": "773-836-4110",
"fax_number": "773-637-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JAMES",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-007603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.