Individual provider Active NPI

Alin Augustine, OD

  • Optometrist
  • Oswego, IL
National Provider Identifier
1629749932
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011695 Issued in IL
Practice address
83 Templeton Dr Ste F
Oswego, IL 60543-7025
Phone
(630) 554-8002
Fax
(630) 554-8095
NPI assigned
Sep 26, 2021
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011695 IL Primary

Addresses

Primary practice location

83 Templeton Dr Ste F
Oswego, IL 60543-7025

Mailing address

83 Templeton Dr Ste F
Oswego, IL 60543-7025
Phone (630) 554-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211221001858 LA Practitioner - Optometry 2769873066 Reassigns benefits to 1 organization
I20230227000120 IL Practitioner - Optometry 2769873066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oswego Vision LTDGroup PAC ID 5496773103, 3 clinicians

Practice addresses (Care Compare)

83 Templeton Dr
Suite F
Oswego, IL 60543-7025
Phone (630) 554-8002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011695ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 15, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Oswego Vision, LTD Optometrist CurrentSince Feb 13, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 15, 2021 Accepting new patients
Richard F Butz PastSince Feb 13, 2023 Accepting new patients

Locations

83 Templeton Dr
Ste F
Oswego, IL 60543
Phone (630) 554-8002

2005 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 836-9820

1514 Jefferson Hwy
New Orleans, LA 70121

Organizations & group practices 5

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": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629749932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 TEMPLETON DR STE F",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437025",
            "telephone_number": "630-554-8002",
            "fax_number": "630-554-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 TEMPLETON DR STE F",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437025",
            "telephone_number": "630-554-8002",
            "fax_number": "630-554-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "ALIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-26",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.