Individual provider Active NPI

Zhiming Tu, OD

  • Optometrist
  • Chicago Ridge, IL
National Provider Identifier
1568253698
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.012005 Issued in IL
Practice address
320 Chicago Ridge Mall # C15
Chicago Ridge, IL 60415-2602
Phone
(708) 423-0033
Fax
(708) 423-0298
NPI assigned
May 16, 2025
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.012005 IL Primary

Addresses

Primary practice location

320 Chicago Ridge Mall # C15
Chicago Ridge, IL 60415-2602

Mailing address

320 Chicago Ridge Mall # C15
Chicago Ridge, IL 60415-2602
Phone (708) 423-0033

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
I20250818001060 IL Practitioner - Optometry 9032618053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicholas Rutkowski OD and Associates LLCGroup PAC ID 0345580056, 3 clinicians

Practice addresses (Care Compare)

870 N Convent St
Bourbonnais, IL 60914-1300
Phone (815) 217-9266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.012005ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Rutkowski, O.D. & Associates LLC Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Illinois College of Optometry Optometrist PastSince May 1, 2025 Accepting new patients
Luxottica of America Inc Past Accepting new patients
University of Chicago PastSince May 1, 2025 Accepting new patients

Locations

870 N Convent St
Bourbonnais, IL 60914
Phone (815) 217-9266

19975 S Lagrange Rd
Frankfort, IL 60423
Phone (815) 217-9266

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1568253698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CHICAGO RIDGE MALL # C15",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152602",
            "telephone_number": "708-423-0033",
            "fax_number": "708-423-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CHICAGO RIDGE MALL # C15",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152602",
            "telephone_number": "708-423-0033",
            "fax_number": "708-423-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "ZHIMING",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-16",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.012005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.