Individual provider Active NPI

Ronald J Carr, OD

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1700803269
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046 008711 Issued in IL
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

Updated by the provider on Mar 21, 2011

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 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

IdentifierTypeStateIssuer
046008711 1MedicaidIL
1621656OtherILBCBS

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
I20100826000815 IL Practitioner - Optometry 4486541471 Reassigns benefits to 1 organization

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
Carr Eye Professionals PCGroup PAC ID 4981591963, 3 clinicians

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 100Reported as group
Quality
98.66
Improvement activities
40
Cost
81.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046 008711ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carr Eye Professionals Optometrist CurrentSince Jan 1, 2002 Accepting new patients
Carr Eye Professionals PC Optometrist CurrentSince Jan 1, 2002 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.