Individual provider Active NPI

Veronica Hene, D.O.

  • Optometrist
  • Lombard, IL
National Provider Identifier
1629262563
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.009030 Issued in IL
Practice address
581 E Roosevelt Rd
Lombard, IL 60148-4631
Phone
(630) 916-8282
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009030 IL Primary

Addresses

Primary practice location

581 E Roosevelt Rd
Lombard, IL 60148-4631

Mailing address

139 S Leonard Rd
Palatine, IL 60074-6418
Phone (847) 991-2362

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
I20110617000273 IL Practitioner - Optometry 7719165968 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
046.009030ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin-Cleetus LTD Optometrist CurrentSince Apr 29, 2013 Accepting new patients

Locations

581 E Roosevelt Rd
Lombard, IL 60148
Phone (630) 916-8282

17W685 Roosevelt Rd
Oakbrook Terrace, IL 60181
Phone (630) 916-8282

Organizations & group practices 2

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1629262563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S LEONARD RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746418",
            "telephone_number": "847-991-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 E ROOSEVELT RD",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484631",
            "telephone_number": "630-916-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENE",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.