Individual provider Active NPI

Lananh Trinh Ngo, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1629508429
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011103 Issued in IL
Practice address
329 W 18TH St Ste 311
Chicago, IL 60616-5132
Phone
(312) 929-3340
NPI assigned
Jun 14, 2017
Last updated
Aug 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT6567 OH
Optometrist 152W00000X 046.011103 IL Primary

Addresses

Primary practice location

329 W 18TH St Ste 311
Chicago, IL 60616-5132

Mailing address

1710 N Whipple St Apt 3
Chicago, IL 60647-5027
Phone (317) 985-6858

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
I20210415000444 IL Practitioner - Optometry 0547678310 Reassigns benefits to 2 organizations

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
Rosley Eyecare and Associates LLCGroup PAC ID 8426456674, 2 clinicians

Practice addresses (Care Compare)

2300 Lehigh Ave
Suite 100
Glenview, IL 60026-1692
Phone (773) 343-0121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011103ILMDOptometrist
OPT6567OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
In Focus Eyecare P.C. Optometrist CurrentSince Aug 7, 2023 Accepting new patients
Rosley Eyecare and Associates LLC Optometrist CurrentSince May 15, 2021 Accepting new patients
Ageless Eye Care P.C. Optometrist PastSince Mar 6, 2020 Accepting new patients

Locations

750 S Randall Rd
Algonquin, IL 60102
Phone (847) 458-5341

2300 Lehigh Ave
Ste 100
Glenview, IL 60026
Phone (224) 432-5147

13460 S Archer Ave
Lemont, IL 60439
Phone (630) 243-6518

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1629508429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N WHIPPLE ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475027",
            "telephone_number": "317-985-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 18TH ST STE 311",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165132",
            "telephone_number": "312-929-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "LANANH",
        "middle_name": "TRINH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT6567",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.