Todd Wayne Sims, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009243 Issued in IL

Practice address

6455 S Kedzie Ave
Chicago, IL 60629-2829

Phone

(773) 863-9234

Fax

(773) 863-9274

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Buena Vista Optical, P.C.

  • Clinic/Center
  • Chicago, IL
  • NPI 1740464296
  Medicare reassignment NPD Authorized official
• Eyecenter PA

  dba Hailey Eyecenter

  • Optometrist
  • Hailey, ID
  • NPI 1154418366
  NPD (past)
• Eyecenter PA

  dba Ketchum Eyecenter

  • Optometrist
  • Ketchum, ID
  • NPI 1174632244
  NPD (past)
• Eyecenter PA

  dba Twin Falls Eyecenter

  • Optometrist
  • Twin Falls, ID
  • NPI 1881781094
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720095532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292829",
            "telephone_number": "773-863-9234",
            "fax_number": "773-863-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292829",
            "telephone_number": "773-863-9234",
            "fax_number": "773-863-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "TODD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046-009243",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Benjamin Sims, PHYSICAL THERAPIST
• Rashawn Alisia Sims, PA
• Robert L. Sims Jr., MS, PHD - INTERN
• Shoniva Denise Sims
• Tiffany Rochelle Sims
• Simsult Care
• Simsult Limited Corporation (Simsult Care)
• Tatyana Simuni, MD
• Sami Sinada, MD
• Sinai Community Foundation

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.