Courtney Beasley

Key facts

NPI

1780176065

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

046011178 (IL)

Practice address

1100 Lake St Ste 180
Oak Park, IL 60301-1028

Phone

(708) 383-7240

NPI assigned

Jun 3, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Rosin Optical Co., Inc Optometrist · Berwyn, IL · NPI 1235343641
  Medicare reassignment Care Compare group NPD IL · OPTOMETRIST
• Rosin Optical Co. Inc. Optometrist · Skokie, IL · NPI 1750945408
  NPD OPTOMETRIST
• Rosin Optical Co., Inc. Optometrist · Schaumburg, IL · NPI 1508245671
  NPD OPTOMETRIST
• Comprehensive Eyecare Physicians PC Ophthalmology Physician · Berwyn, IL · NPI 1205959053
  NPD (past)
• Rosin Optical Co., Inc. Optometrist · Chicago, IL · NPI 1073057634
  NPD (past) OPTOMETRIST

Medicare Care Compare profile

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rosin Optical Co Inc (51 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2018.

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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

• Tracy Baum
• Jeffrey S Bayers, DPT
• Melissa Beally, MD
• William Beam, DDS, MS
• Emily K Beamer, MD
• Morgan Colleen Beatty, MD, MPH
• Katarzyna Beben, BCBA
• Sandra Margaret Bechtol
• Bechtold Vision Services, LTD.
• Sarah Bedell, AM

All providers in Oak Park, IL · Optometrist in Illinois