Great Lakes Retina, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GREAT LAKES RETINA, PLLC

Practice address

3438 N Old Arlington Heights Rd
Arlington Heights, IL 60004-1552

Phone

(847) 551-0049

Fax

(847) 787-1657

NPI assigned

Mar 15, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Omar Mohamed Hassan, MDNPI 1366820441

Title

Physician

Phone

(847) 551-0049

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: ohassan@glr.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omar Hassan, MD

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1366820441
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1629878079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 N OLD ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041552",
            "telephone_number": "847-551-0049",
            "fax_number": "847-787-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 N OLD ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041552",
            "telephone_number": "847-551-0049",
            "fax_number": "847-787-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES RETINA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-551-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Graham, RBT, LBS-1
• Patricia A Graham, MD
• Maya Granados
• Vicki Grawe
• Lili Gray, LCSW
• Greater Heights P Medical Services
• Greater Northwest Medical Group
• Carla Greco
• Melissa Greco, APN-CNP
• Autumn-Marie L Green, P.A.-C.

• Ophthalmology Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.