Active NPI
Toshio Nakajima, O.D.
- Optometrist
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-008123
- Practice address
- 165 S Randall Rd
Elgin, IL 60123 - Phone
- (847) 888-1555
- Fax
- (847) 888-2508
- NPI assigned
- Jan 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046008123 | IL | |
| Optometrist | 152W00000X | 046-008123 | IL | Primary |
Addresses
Primary practice location
165 S Randall Rd
Elgin, IL 60123
Mailing address
165 S Randall Rd
Elgin, IL 60123-5551
Phone (847) 888-1555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410017896 | Other | IL | RAILROAD MEDICARE |
| 4515286 | Other | IL | BCBS |
| L08183 | Other | IL | PIN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
165 S Randall Rd
Elgin, IL 60123-5551
Phone (847) 888-1555
2100 Troy Rd
Edwardsville, IL 62025-2595
Phone (618) 656-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-008123 | IL | MD | Optometrist |
| 046008123 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina J. Levi O D P C | Optometrist | Current | Accepting new patients |
| Christina J. Levi O D P C | Optometrist | Past | Accepting new patients |
| Susan M Penner | Optometrist | Past | Accepting new patients |
Locations
134 E Blackhawk Dr
Byron, IL 61010
Phone (815) 234-2020
2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888
165 S Randall Rd
Elgin, IL 60123
Phone (847) 888-1555
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 and National Provider Directory roles.
-
- Optometrist
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- NPI 1477703411
-
- Optometrist
- Byron, IL
- NPI 1891842464
-
- Optometrist
- Edwardsville, IL
- NPI 1033261904
-
- Optometrist
- Elgin, IL
- NPI 1508088683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1609924745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 S RANDALL RD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235551",
"telephone_number": "847-888-1555",
"fax_number": "847-888-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 S RANDALL RD",
"city": "ELGIN",
"state": "IL",
"postal_code": "60123",
"telephone_number": "847-888-1555",
"fax_number": "847-888-2508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAJIMA",
"first_name": "TOSHIO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008123",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-008123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410017896",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4515286",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "L08183",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.