Individual provider Active NPI

Rosalba Ramirez, OD

  • Optometrist
  • Franklin Park, IL
National Provider Identifier
1679127021
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011332 Issued in IL
Practice address
10112 Grand Ave
Franklin Park, IL 60131-2549
Phone
(847) 737-5875
Fax
(847) 737-5876
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 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 046011332 IL Primary

Addresses

Primary practice location

10112 Grand Ave
Franklin Park, IL 60131-2549

Mailing address

10112 Grand Ave
Franklin Park, IL 60131-2549
Phone (847) 737-5875

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
I20190822001083 IL Practitioner - Optometry 9537497078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10112 Grand Ave
Franklin Park, IL 60131-2549
Phone (847) 737-5875

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011332ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ageless Eye Care P.C. Optometrist CurrentSince Mar 6, 2020 Accepting new patients
Eyes on Grand LLC Optometrist CurrentSince Jun 16, 2021 Accepting new patients
Visionworks Inc PastSince Jul 16, 2019 Accepting new patients

Locations

329 W 18th St
Ste 311
Chicago, IL 60616
Phone (312) 952-4847

10112 Grand Ave
Franklin Park, IL 60131
Phone (847) 737-5875

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1679127021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312549",
            "telephone_number": "847-737-5875",
            "fax_number": "847-737-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312549",
            "telephone_number": "847-737-5875",
            "fax_number": "847-737-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ROSALBA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

Verify at the official NPI Registry.