Individual provider Active NPI

Tauseef U Tahir, O.D.

  • Optometrist
  • Joliet, IL
National Provider Identifier
1710075304
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009501 Issued in IL
Practice address
301 Springfield Ave
Joliet, IL 60435-6590
Phone
(815) 744-3222
NPI assigned
Oct 10, 2006
Last updated
Mar 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009501 IL Primary

Addresses

Primary practice location

301 Springfield Ave
Joliet, IL 60435-6590

Mailing address

301 Springfield Ave
Joliet, IL 60435-6590
Phone (815) 744-3222

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
I20040503000791 IL Practitioner - Optometry 6709874415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Springfield Ave
Joliet, IL 60435-6590
Phone (815) 744-3222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009501ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
T&K O.D., LTD Optometrist CurrentSince Sep 23, 2004 Accepting new patients
Jak Enterprise Inc Past Accepting new patients

Locations

301 Springfield Ave
Joliet, IL 60435
Phone (815) 729-0330

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, 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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1710075304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SPRINGFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356590",
            "telephone_number": "815-744-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SPRINGFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356590",
            "telephone_number": "815-744-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIR",
        "first_name": "TAUSEEF",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.