Individual provider Active NPI

Elyse L Chaglasian, OD

  • Optometrist
  • Hoffman Estates, IL
National Provider Identifier
1740273234
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008200 Issued in IL
Practice address
1585 Barrington Rd
Suite 404
Hoffman Estates, IL 60169-1090
Phone
(847) 755-9393
Fax
(847) 755-1560
NPI assigned
Aug 30, 2005
Last updated
Jun 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008200 IL Primary

Addresses

Primary practice location

1585 Barrington Rd
Suite 404
Hoffman Estates, IL 60169-1090

Mailing address

1585 Barrington Rd
Suite 404
Hoffman Estates, IL 60169-1090
Phone (847) 755-9393

Other identifiers 2

IdentifierTypeStateIssuer
046008200MedicaidIL
6046380001OtherILNATIONAL GOVERNMENT SERVICES

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
I20060215000843 IL Practitioner - Optometry 6305851023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois College of OptometryGroup PAC ID 7416851639, 77 clinicians

Practice addresses (Care Compare)

3241 S Michigan Ave
Chicago, IL 60616-3878
Phone (312) 949-7751

3241 S Michigan Ave
Chicago, IL 60616-4201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois College of Optometry Optometrist CurrentSince Aug 16, 2010 Accepting new patients

Locations

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

Interoperability endpoints

  • Direct secure messaging: elyse.chaglasian.iei@direct.ico.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1740273234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "SUITE 404",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691090",
            "telephone_number": "847-755-9393",
            "fax_number": "847-755-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "SUITE 404",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691090",
            "telephone_number": "847-755-9393",
            "fax_number": "847-755-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGLASIAN",
        "first_name": "ELYSE",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008200",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVICES",
            "identifier": "6046380001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.