Active NPI
Courtney Beasley
- Optometrist
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011178
- Practice address
- 1100 Lake St Ste 180
Oak Park, IL 60301-1028 - Phone
- (708) 383-7240
- NPI assigned
- Jun 3, 2018
- Last updated
- Jun 3, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 046011178 | IL | Primary |
Addresses
Primary practice location
1100 Lake St Ste 180
Oak Park, IL 60301-1028
Mailing address
458 Canterbury Dr
Carol Stream, IL 60188-3914
Phone (630) 234-5643
Other practice location 1
698 Roosevelt Rd
Glen Ellyn, IL 60137-5819
Phone (630) 545-2020
Other practice location 2
160 Danada Sq W Ste A8
Wheaton, IL 60189-2041
Phone (630) 752-0595
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
698 Roosevelt Rd
Glen Ellyn, IL 60137-5819
Phone (630) 545-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosin Optical Co., Inc | Optometrist | Current | Accepting new patients |
| Rosin Optical Co., Inc. | Optometrist | Current | Accepting new patients |
| Rosin Optical Co. Inc. | Optometrist | Current | Accepting new patients |
| Comprehensive Eyecare Physicians PC | Past | Accepting new patients |
Locations
6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020
145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020
698 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 545-2020
1100 Lake St
Ste 180
Oak Park, IL 60301
Phone (708) 383-7240
160 Danada Sq W
Ste A8
Wheaton, IL 60189
Phone (630) 752-0595
1706 E Roosevelt Rd
Wheaton, IL 60187
Phone (630) 653-8885
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Berwyn, IL
- NPI 1235343641
-
- Ophthalmology Physician
- Berwyn, IL
- NPI 1205959053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527984000000",
"number": "1780176065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 CANTERBURY DR",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601883914",
"telephone_number": "630-234-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE ST STE 180",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011028",
"telephone_number": "708-383-7240"
}
],
"practiceLocations": [
{
"address_1": "698 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Glen Ellyn",
"state": "IL",
"postal_code": "601375819",
"country_code": "US",
"telephone_number": "630-545-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 Danada Sq W Ste A8",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601892041",
"country_code": "US",
"telephone_number": "630-752-0595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEASLEY",
"first_name": "COURTNEY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-03",
"last_updated": "2018-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; 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.