Individual provider Active NPI

Alexandra M Piper

  • Optometrist
  • Joliet, IL
National Provider Identifier
1720519002
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011104 Issued in IL
Practice address
370 Houbolt Rd
Joliet, IL 60431-8303
Phone
(815) 729-9143
Fax
(815) 729-1580
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 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 046011104 IL Primary

Addresses

Primary practice location

370 Houbolt Rd
Joliet, IL 60431-8303

Mailing address

202 N Hammes Ave
Unit a
Joliet, IL 60435-8136
Phone (815) 744-2020

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
I20170606003113 IL Practitioner - Optometry 3375810740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Vision Associates PCGroup PAC ID 9436446002, 2 clinicians

Practice addresses (Care Compare)

202 N Hammes Ave
Unit a
Joliet, IL 60435-8136
Phone (815) 744-2020

Hospital & facility affiliations

  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence E. Sadowski, M.D., LTD. CurrentSince Jun 29, 2018 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 15, 2018 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 15, 2018 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

202 N Hammes Ave
Unit A
Joliet, IL 60435
Phone (815) 729-4100

370 Houbolt Rd
Ste 102
Joliet, IL 60431
Phone (815) 729-9143

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1720519002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N HAMMES AVE",
            "address_2": "UNIT A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358136",
            "telephone_number": "815-744-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 HOUBOLT RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318303",
            "telephone_number": "815-729-9143",
            "fax_number": "815-729-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "ALEXANDRA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.