Individual provider Active NPI

Ashley Zimmerman, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1629508098
Registry record updated Jun 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011111 Issued in IL
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

Updated by the provider on Jun 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011111 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302000035 CO Practitioner - Optometry 4587934435 Reassigns benefits to 1 organization

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
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011111ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Feb 17, 2023 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Feb 17, 2023 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

Verify at the official NPI Registry.