Emily Marie Pott, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010080 Issued in IL

Practice address

4160 Il Route 83
Suite 107
Long Grove, IL 60047-8034

Phone

(847) 955-9393

Fax

(847) 955-9857

NPI assigned

Jul 3, 2008

Last updated

May 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Emily Marie Southcott Former name

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forsight Vision, LTDGroup PAC ID 6709964513, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Forsight Vision, LTD

  • Optometrist
  • Long Grove, IL
  • NPI 1386816320
  Medicare reassignment Care Compare group
• Industrial Optical Service Inc

  dba Spex

  • Optometrist
  • Chicago, IL
  • NPI 1578655593
  NPD (past)
• Industrial Optical Service, Inc.

  dba Better Vision Optometrists

  • Optometrist
  • Niles, IL
  • NPI 1154471290
  NPD (past)
• Industrial Optical Service, Inc.

  dba Spex

  • Optometrist
  • Lincolnshire, IL
  • NPI 1265582399
  NPD (past)
• Industrial Optical Service, Inc.

  dba Spex

  • Optometrist
  • Evanston, IL
  • NPI 1336299445
  NPD (past)
• Industrial Optical Service, Inc.

  dba Eyeland of St. Johns

  • Optometrist
  • Geneva, IL
  • NPI 1346390499
  NPD (past)
• Industrial Optical Service, Inc.

  dba Keno Optical

  • Optometrist
  • Chicago, IL
  • NPI 1396895421
  NPD (past)
• Industrial Optical Service, Inc.

  dba Village Vision

  • Optometrist
  • Grayslake, IL
  • NPI 1639229776
  NPD (past)
• Industrial Optical Service, Inc.

  dba Coventry Eyecare

  • Optometrist
  • Evanston, IL
  • NPI 1679623714
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1770746299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 IL ROUTE 83",
            "address_2": "SUITE 107",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478034",
            "telephone_number": "847-955-9393",
            "fax_number": "847-955-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 IL ROUTE 83",
            "address_2": "SUITE 107",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478034",
            "telephone_number": "847-955-9393",
            "fax_number": "847-955-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTT",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "8825444",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1636706",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7235044",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SOUTHCOTT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trushar Patel, ACNP
• Amy L Peters, PHARMD
• Ritu Piplani, M.D.
• Maureen Podvrsan, M.S., CCC-SLP
• Aleksandra Popovic, MD
• Primelink Home Health Care
• Professional Dental Alliance of Illinois Specialty, PLLC (Associated Dental Specialists of Long Grove)
• Reginald Spears MD LLC
• Joseph A Renguso, M.S., L.C.P.C.
• Robert S Baker MD LTD

• Optometrist in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.