Ada Avary

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010815 Issued in IL

Practice address

315 Stratford PL Ste C-15
Bloomingdale, IL 60108-2655

Phone

(630) 295-8031

NPI assigned

Aug 16, 2014

Last updated

Nov 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  Medicare reassignment NPD
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1619376571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W STONEGATE BLVD APT 316",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051065",
            "telephone_number": "703-401-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 STRATFORD PL STE C-15",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082655",
            "telephone_number": "630-295-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072905",
            "country_code": "US",
            "telephone_number": "312-243-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVARY",
        "first_name": "ADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-16",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010815",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046010815",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IL",
            "license": "046010815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Atcha, FNP-BC
• Athletic & Therapeutic Institute of Bourbonnais, LLC (Ati Physical Therapy)
• Athletico, LTD (AthletiCo Physical Therapy & Occupational Therapy)
• Erin J Austin, LCPC
• Teresa Kimberly Austin, D.P.T.
• Ericka Axness, MSW, LCSW
• Zainab Aziz, DDS
• Carolyn Ann Bailey, PSY.D.
• Gina Baldacci, LCSW
• Michael W Baloun, R.PH.

• Optometrist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.

Verify at the official NPI Registry.