Organization Active NPI

Ophthalmology Partners, LTD.

  • Ophthalmology Physician
  • Deerfield, IL
National Provider Identifier
1750423463
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMOLOGY PARTNERS, LTD.
Practice address
740 Waukegan Rd
Suite 360
Deerfield, IL 60015-4374
Phone
(847) 945-6770
Fax
(847) 945-3159
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Melissa A Maehl
Title
Manager
Phone
(847) 945-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X IL Primary

Addresses

Primary practice location

740 Waukegan Rd
Suite 360
Deerfield, IL 60015-4374

Mailing address

740 Waukegan Rd
Suite 360
Deerfield, IL 60015-4374
Phone (847) 945-6770

Other identifiers 1

IdentifierTypeStateIssuer
CG8300OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100714000940 IL Part B Supplier - Clinic/Group Practice 0547392383 Receives reassigned benefits from 4 practitioners
Practice locations: Lake Bluff, IL; Deerfield, IL
O20100930040557 IL DME Supplier - Physician - OptometristDME Supplier - Optician 0547392383 Practice locations: Deerfield, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ophthalmology Partners, LTD.740 Waukegan Rd, Deerfield, IL 60015-4374(847) 945-2020 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory

Locations

740 Waukegan Rd
Ste 360
Deerfield, IL 60015
Phone (708) 945-6770

917 Sherwood Dr
Ste 202
Lake Bluff, IL 60044
Phone (847) 234-4100

900 N Westmoreland Rd
Ste 107
Lake Forest, IL 60045
Phone (847) 234-4100

Interoperability endpoints

  • Direct secure messaging: anagpal@opltd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1750423463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WAUKEGAN RD",
            "address_2": "SUITE 360",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154374",
            "telephone_number": "847-945-6770",
            "fax_number": "847-945-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WAUKEGAN RD",
            "address_2": "SUITE 360",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154374",
            "telephone_number": "847-945-6770",
            "fax_number": "847-945-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY PARTNERS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "MAEHL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-945-6770"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG8300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.