Individual provider Active NPI

Diana Shpritser, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1679622724
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009084 Issued in IL
Practice address
2736 N Clark St
Chicago, IL 60614-1503
Phone
(773) 248-8866
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009084 IL Primary

Addresses

Primary practice location

2736 N Clark St
Chicago, IL 60614-1503

Mailing address

2736 N Clark St
Chicago, IL 60614-1503
Phone (773) 248-8866

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
I20031229000775 IL Practitioner - Optometry 6709784788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009084ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc CurrentSince Sep 26, 2024 Accepting new patients
Luxottica of America Inc. CurrentSince Sep 26, 2024 Accepting new patients

Locations

450 E Rand Rd
Arlington Hts, IL 60004
Phone (847) 398-3303

2736 N Clark St
Chicago, IL 60614
Phone (773) 248-0863

900 W North Ave
Chicago, IL 60642
Phone (312) 690-3526

1402 Butterfield Rd
Downers Grove, IL 60515
Phone (630) 629-2025

4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1679622724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141503",
            "telephone_number": "773-248-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141503",
            "telephone_number": "773-248-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPRITSER",
        "first_name": "DIANA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.