Active NPI
Ronald J Carr, OD
- Optometrist
- Orland Park, IL
National Provider Identifier
1700803269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046 008711
- Practice address
- 14225 S 95TH Ave
Ste 453
Orland Park, IL 60462-2265 - Phone
- (708) 361-6141
- Fax
- (708) 361-5327
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- 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 | 046 008711 | IL | Primary |
Addresses
Primary practice location
14225 S 95TH Ave
Ste 453
Orland Park, IL 60462-2265
Mailing address
14225 S 95TH Ave
Ste 453
Orland Park, IL 60462-2265
Phone (708) 361-6141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046008711 1 | Medicaid | IL | |
| 1621656 | Other | IL | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9661 W 143Rd St
Suite 202
Orland Park, IL 60462-2088
Phone (708) 361-6141
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.92 of 100
- Quality
- 98.66
- Improvement activities
- 40
- Cost
- 81.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046 008711 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carr Eye Professionals | Optometrist | Current | Accepting new patients |
| Carr Eye Professionals PC | Optometrist | Current | Accepting new patients |
| Carr Eye Professionals PC | Optometrist | Current | Accepting new patients |
| Carr Eye Professionals PC | Optometrist | Past | Accepting new patients |
Locations
14225 S 95th Ave
Ste 453
Orland Park, IL 60462
Phone (708) 361-6141
9661 W 143rd St
Ste 202
Orland Park, IL 60462
Phone (708) 361-6141
Interoperability endpoints
- rcarr@mep.intellechartdirect.net
Organizations & group practices 4
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.
-
- Optometrist
- Orland Park, IL
- NPI 1396866323
-
- Optometrist
- Palos Heights, IL
- NPI 1568811248
-
- Optometrist
- Orland Park, IL
- NPI 1407978687
-
- Optometrist
- Chicago, IL
- NPI 1851899082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1700803269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14225 S 95TH AVE",
"address_2": "STE 453",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622265",
"telephone_number": "708-361-6141",
"fax_number": "708-361-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14225 S 95TH AVE",
"address_2": "STE 453",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622265",
"telephone_number": "708-361-6141",
"fax_number": "708-361-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "RONALD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046 008711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008711 1",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1621656",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.