Individual provider Active NPI

Sheila K Oshaughnessy, O.D.

  • Corneal and Contact Management Optometrist
  • Lisle, IL
National Provider Identifier
1568499341
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
346001133 Issued in IL
Practice address
4760 Main St
Lisle, IL 60532-1724
Phone
(630) 969-2020
Fax
(630) 969-1415
NPI assigned
Jun 27, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 346001133 IL Primary

Addresses

Primary practice location

4760 Main St
Lisle, IL 60532-1724

Mailing address

4760 Main St
Lisle, IL 60532-1724
Phone (630) 969-2020

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
I20080424000302 IL Practitioner - Optometry 3870671381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
346001133ILMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc. CurrentSince Mar 10, 2018 Accepting new patients
Rosin Optical Co., Inc Current Accepting new patients
Rosin Optical Co. Inc. CurrentSince Mar 10, 2018 Accepting new patients

Locations

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

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

4760 Main St
Lisle, IL 60532
Phone (630) 230-1493

Organizations & group practices 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1568499341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 MAIN ST",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321724",
            "telephone_number": "630-969-2020",
            "fax_number": "630-969-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 MAIN ST",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321724",
            "telephone_number": "630-969-2020",
            "fax_number": "630-969-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHAUGHNESSY",
        "first_name": "SHEILA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "346001133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.