Individual provider Active NPI

Steven Sargent, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1750069134
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011768 Issued in IL
Practice address
3241 S Michigan Ave Ste 1
Chicago, IL 60616-3878
Phone
(312) 949-7119
Fax
(312) 949-7617
NPI assigned
Jul 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 046011768 IL Primary

Addresses

Primary practice location

3241 S Michigan Ave Ste 1
Chicago, IL 60616-3878

Mailing address

3241 S Michigan Ave Ste 1
Chicago, IL 60616-3878
Phone (312) 949-7119

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
I20230906002321 IL Practitioner - Optometry 2567826753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone (312) 666-1331

222 Waukegan Rd
Glenview, IL 60025-5159
Phone (312) 666-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011768ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois College of Optometry Optometrist CurrentSince Aug 15, 2023 Accepting new patients
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired Optometrist CurrentSince Feb 28, 2024 Accepting new patients
University of Chicago PastSince Jul 9, 2023 Accepting new patients
Tatiyana Urbin, D.C. LTD Past Accepting new patients

Locations

3241 S Michigan Ave
Ste 1
Chicago, IL 60616
Phone (312) 225-6200

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

1850 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 997-3686

222 Waukegan Rd
Glenview, IL 60025
Phone (847) 510-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1750069134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163878",
            "telephone_number": "312-949-7119",
            "fax_number": "312-949-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163878",
            "telephone_number": "312-949-7119",
            "fax_number": "312-949-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "STEVEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.