Individual provider Active NPI

Albert F Choi, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1720238058
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010089 Issued in IL
Practice address
3760 N Broadway St
Chicago, IL 60613-4105
Phone
(773) 975-2020
Fax
(773) 975-2085
NPI assigned
Sep 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010089 IL Primary

Addresses

Primary practice location

3760 N Broadway St
Chicago, IL 60613-4105

Mailing address

1298 Fox Valley Ctr
Aurora, IL 60504-4184
Phone (630) 851-8300

Other practice location 1

1298 Fox Valley Ctr
Aurora, IL 60504-4184
Phone (630) 851-8300

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
I20081006000386 IL Practitioner - Optometry 0143398073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3760 N Broadway St
Chicago, IL 60613-4105
Phone (773) 975-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010089ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Apr 22, 2019 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Apr 22, 2019 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

2842 N Sheridan Rd
Chicago, IL 60657
Phone (773) 525-8700

3760 N Broadway St
Chicago, IL 60613
Phone (773) 975-2020

2000 N Clybourn Ave
#G2
Chicago, IL 60614
Phone (773) 975-7867

4740 N Lincoln Ave
Chicago, IL 60625
Phone (773) 275-2900

3627 N Western Ave
Chicago, IL 60618
Phone (773) 525-2022

2000 Central St
Evanston, IL 60201
Phone (847) 864-0300

463 Central Ave
Highland Park, IL 60035
Phone (847) 266-6400

106 Ridge Rd
Ste 112
Minooka, IL 60447
Phone (815) 467-7090

1979 Huntley Rd
West Dundee, IL 60118
Phone (847) 836-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1720238058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 FOX VALLEY CTR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044184",
            "telephone_number": "630-851-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134105",
            "telephone_number": "773-975-2020",
            "fax_number": "773-975-2085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1298 Fox Valley Ctr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605044184",
            "country_code": "US",
            "telephone_number": "630-851-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ALBERT",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.