Active NPI
Ashley Zimmerman, OD
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011111
- Practice address
- 1449 W Fullerton Ave
Chicago, IL 60614-8027 - Phone
- (773) 549-2020
- NPI assigned
- Jun 18, 2017
- 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 | 046.011111 | IL | Primary |
Addresses
Primary practice location
1449 W Fullerton Ave
Chicago, IL 60614-8027
Mailing address
1449 W Fullerton Ave
Chicago, IL 60614-8027
Phone (773) 549-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Illinois College of Optometry at Chicago, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 S Wadsworth Blvd
Suite 101
Lakewood, CO 80227-3246
Phone (303) 986-5983
412 Main St
Longmont, CO 80501-5535
Phone (303) 651-6700
8925 Ridgeline Blvd
Suite 107
Highlands Ranch, CO 80129-2502
Phone (303) 791-2727
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011111 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Galileo Optical Co. | Optometrist | Past | Accepting new patients |
Locations
7960 S University Blvd
Ste 102
Centennial, CO 80122
Phone (303) 761-2345
8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727
7586 W Jewell Ave
Ste 104
Lakewood, CO 80232
Phone (303) 233-7575
8585 W 14th Ave
Ste C
Lakewood, CO 80215
Phone (303) 238-4357
2525 S Wadsworth Blvd
Ste 101
Lakewood, CO 80227
Phone (303) 986-5983
412 Main St
Longmont, CO 80501
Phone (303) 651-6700
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497744000000",
"number": "1629508098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606148027",
"telephone_number": "773-549-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606148027",
"telephone_number": "773-549-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "ASHLEY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2017-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.