Active NPI
Judith Faith Weinstein, O.D.
- Optometrist
- Vernon Hills, IL
National Provider Identifier
1609930452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 2 Hawthorn Ctr
Vernon Hills, IL 60061-1520 - Phone
- (847) 367-0885
- Fax
- (847) 367-0394
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Primary |
Addresses
Primary practice location
2 Hawthorn Ctr
Vernon Hills, IL 60061-1520
Mailing address
3303 Krenn Ave
Highland Park, IL 60035-1225
Phone (847) 432-2411
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070607000186 | IL | Practitioner - Optometry | 3577661099 | Practice locations: Gurnee, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-007811 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609930452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 KRENN AVE",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600351225",
"telephone_number": "847-432-2411",
"fax_number": "847-266-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HAWTHORN CTR",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611520",
"telephone_number": "847-367-0885",
"fax_number": "847-367-0394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "JUDITH",
"middle_name": "FAITH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.