Active NPI
Sharon Mary Luckhardt, O.D.
- Optometrist
- Westmont, IL
National Provider Identifier
1669574794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 045006139
- Practice address
- 136 N Cass Ave
Westmont, IL 60559-1604 - Phone
- (630) 969-2807
- NPI assigned
- Sep 1, 2006
- Last updated
- Apr 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 045006139 | IL | Primary |
Addresses
Primary practice location
136 N Cass Ave
Westmont, IL 60559-1604
Mailing address
136 N Cass Ave
Westmont, IL 60559-1604
Phone (630) 969-2807
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K16174 | Other | IL | PTAN |
| 1669574794 | Other | IL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045006139 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Care Center, LTD. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1669574794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N CASS AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591604",
"telephone_number": "630-969-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 N CASS AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591604",
"telephone_number": "630-969-2807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKHARDT",
"first_name": "SHARON",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "045006139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "K16174",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1669574794",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
- Alexa Anais Lopez, ATC
- Kaitlan Ariel Lopez
- Lotus Geriatric Nurse Practitioner Consultants LLC
- Larry Brandonn Love, MS, ATC, CSCS
- James Daniel Lucia, OT
- Julie Lukachko, DC
- Ewa Lulek
- Claudia Isabella Lundgren-Clark, LPC
- Macneal Health Providers, Inc. (Chicago Health System, Inc.)
- Macneal Health Providers, Inc. (Weiss Health Providers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.