Dominick Louis Opitz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008976 Issued in IL

Practice address

3241 S Michigan Ave
Chicago, IL 60616-3849

Phone

(312) 225-6200

Fax

(312) 949-7706

NPI assigned

Jun 24, 2006

Last updated

Mar 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois College of OptometryGroup PAC ID 7416851639, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dominick.opitz.iei@direct.ico.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Illinois College of Optometry

  dba Illinois Eye Institute

  • Optometrist
  • Chicago, IL
  • NPI 1285612390
  Medicare reassignment Care Compare group NPD
• Bartlett Vision Center PC

  • Optometrist
  • Bartlett, IL
  • NPI 1477766699
  Medicare reassignment NPD
• Shah Eye Care LLC

  dba Norwood Park Eye Center

  • Optometrist
  • Chicago, IL
  • NPI 1982478111
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1639105273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163849",
            "telephone_number": "312-225-6200",
            "fax_number": "312-949-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163849",
            "telephone_number": "312-225-6200",
            "fax_number": "312-949-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPITZ",
        "first_name": "DOMINICK",
        "middle_name": "LOUIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008976-1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Operant Architects, LLC (First Domino Pediatric Behavior Therapy)
• Ophthalmic Support Sytems of Chicago
• Ophthalmology Consultants of Illinois, S.C. (Archer Eye Center)
• Ophthalmology Northwest, S.C. (Advanced Vision Specialists)
• Emily Therese Opiola, FNP-C
• Sharon Opoola
• Joanne Robin Oppenheim, D.D.S.
• Whitney Habermann Oppenheimer, M.A.
• Ricci Oppenlander
• Elizabeth Anna Oppert, CNM

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.

Verify at the official NPI Registry.