Individual provider Active NPI

Debbie Lisa Simon Palaparthi, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1669024832
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011722 Issued in IL
Practice address
709 S Seeley St
Chicago, IL 60612-5554
Phone
(312) 262-5725
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Q Optique at Imd, Inc. 2 clinicians

Practice addresses (Care Compare)

709 S Seeley St
Chicago, IL 60612-5554
Phone (312) 736-0500

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
I20230314001913 IL Practitioner - Optometry 5294064085 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011722ILMDOptometrist
009017NYMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Q Optique at Imd, Inc. Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Eye Q Optique Inc Optometrist CurrentSince Sep 1, 2023 Accepting new patients

Locations

722 Buffalo Grove Rd
Buffalo Grove, IL 60089
Phone (847) 947-8875

709 S Seeley St
Chicago, IL 60612
Phone (312) 262-5725

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009017 NY
Optometrist 152W00000X 046011722 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

709 S Seeley St
Chicago, IL 60612-5554

Mailing address

5822 Monroe St
Morton Grove, IL 60053-3338
Phone (516) 776-5458

Other names 1

NPPES NPI Registry
  • Debbie Lisa Simon Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2023.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1669024832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 MONROE ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533338",
            "telephone_number": "516-776-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S SEELEY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606125554",
            "telephone_number": "312-262-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON PALAPARTHI",
        "first_name": "DEBBIE",
        "middle_name": "LISA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009017",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "SIMON",
            "middle_name": "LISA",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.