Individual provider Active NPI

Robert Vanlente, OD

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1629028444
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046006582 Issued in IL
Practice address
10001 W 143Rd St
Orland Park, IL 60462-2026
Phone
(708) 349-2600
Fax
(708) 349-9201
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046006582 IL Primary

Addresses

Primary practice location

10001 W 143Rd St
Orland Park, IL 60462-2026

Mailing address

10001 W 143Rd St
Orland Park, IL 60462-2026
Phone (708) 349-2600

Other identifiers 10

IdentifierTypeStateIssuer
CN3870OtherILRR MEDICARE GROUP
DA8522OtherILRR MEDICARE GROUP ORLAND
0363241858OtherILTAX ID OAK LAWN
0618250001OtherILDME OAK LAWN
1148260001OtherILDME ORLAND PARK
0410022825OtherILRR MEDICAR IND. OAKLAWN
985800OtherILMEDICARE PROVIDER GRP#OP
0410021948OtherILRR MEDICARE IND. ORLAND
508980OtherILMEDICARE PROVIDER GRP#OL
0363448367OtherILTAX ID ORLAND PK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Optometric Group, P.C. Optometrist PastSince Feb 17, 1997 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1629028444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622026",
            "telephone_number": "708-349-2600",
            "fax_number": "708-349-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622026",
            "telephone_number": "708-349-2600",
            "fax_number": "708-349-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLENTE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CN3870",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP ORLAND",
            "identifier": "DA8522",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID OAK LAWN",
            "identifier": "0363241858",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME OAK LAWN",
            "identifier": "0618250001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME ORLAND PARK",
            "identifier": "1148260001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICAR IND. OAKLAWN",
            "identifier": "0410022825",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER GRP#OP",
            "identifier": "985800",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE IND. ORLAND",
            "identifier": "0410021948",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER GRP#OL",
            "identifier": "508980",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID ORLAND PK",
            "identifier": "0363448367",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.