Individual provider Active NPI

James B Ross, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1518016716
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008290 Issued in IL
Practice address
1548 E 55TH St
Chicago, IL 60615-5550
Phone
(708) 338-1355
NPI assigned
Jan 9, 2007
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008290 IL Primary
Optometrist 152W00000X 2326-35 WI
Optometrist 152W00000X TPOP31 FL

Addresses

Primary practice location

1548 E 55TH St
Chicago, IL 60615-5550

Mailing address

1548 E 55TH St
Chicago, IL 60615-5550
Phone (708) 338-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091111000766 IL Practitioner - Optometry 0244132595 Reassigns benefits to 1 organization
I20211129000829 FL Practitioner - Optometry 0244132595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

1548 E 55TH St
Chicago, IL 60615-5550
Phone (773) 667-0024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPOP31FLMDOptometrist
046-008290ILMDOptometrist
2326-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co., Inc. Optometrist CurrentSince Apr 3, 2017 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Apr 3, 2017 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Rosin Optical Co., Inc. Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients

Locations

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

1548 E 55th St
Chicago, IL 60615
Phone (773) 667-0024

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1518016716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 E 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155550",
            "telephone_number": "708-338-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 E 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155550",
            "telephone_number": "708-338-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008290",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2326-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP31",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.