Individual provider Active NPI

Bessie Anthony, O.D.

  • Optometrist
  • Oak Lawn, IL
National Provider Identifier
1558538447
Registry record updated May 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008132 Issued in IL
Practice address
10550 S Cicero Ave
Oak Lawn, IL 60453-5267
Phone
(708) 499-3911
NPI assigned
May 10, 2008
Last updated
May 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008132 IL Primary

Addresses

Primary practice location

10550 S Cicero Ave
Oak Lawn, IL 60453-5267

Mailing address

10550 S Cicero Ave
Oak Lawn, IL 60453-5267
Phone (708) 499-3911

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
I20160111001018 IL Practitioner - Optometry 6204138035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008132ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jorge a. Benavente Optometrist PC Optometrist CurrentSince Dec 9, 2015 Accepting new patients

Locations

4005 167th St
Country Club Hills, IL 60478
Phone (708) 647-6738

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, 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": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210377600000",
    "number": "1558538447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535267",
            "telephone_number": "708-499-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535267",
            "telephone_number": "708-499-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "BESSIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-10",
        "last_updated": "2008-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.