Active NPI
Terrance Peter Carmine, O.D.
- Optometrist
- Lansing, IL
National Provider Identifier
1740361443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 46-6715
- Practice address
- 3224 Ridge Rd
Lansing, IL 60438-3129 - Phone
- (708) 895-4422
- Fax
- (708) 895-4482
- NPI assigned
- Oct 18, 2006
- Last updated
- Oct 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 46-6715 | IL | Primary |
Addresses
Primary practice location
3224 Ridge Rd
Lansing, IL 60438-3129
Mailing address
3224 Ridge Rd
Lansing, IL 60438-3129
Phone (708) 895-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46-6715 | IL | MD | Optometrist |
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.
-
- Optometrist
- Lansing, IL
- NPI 1033381405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1740361443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3224 RIDGE RD",
"city": "LANSING",
"state": "IL",
"postal_code": "604383129",
"telephone_number": "708-895-4422",
"fax_number": "708-895-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3224 RIDGE RD",
"city": "LANSING",
"state": "IL",
"postal_code": "604383129",
"telephone_number": "708-895-4422",
"fax_number": "708-895-4482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMINE",
"first_name": "TERRANCE",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "46-6715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.