Active NPI
Serene Ann Fakhoury, OD
- Optometrist
- Westmont, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004585A
- Practice address
- 409 W Ogden Ave
Westmont, IL 60559-1421 - Phone
- (630) 964-9800
- NPI assigned
- Jul 15, 2025
- 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 | 18004585A | IN | Primary |
Addresses
Primary practice location
409 W Ogden Ave
Westmont, IL 60559-1421
Mailing address
2015 S Finley Rd
Lombard, IL 60148-4828
Phone (312) 451-5733
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
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
409 W Ogden Ave
Westmont, IL 60559-1421
Phone (630) 964-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004585A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Consultants of Illinois, S.C. | Optometrist | Current | Accepting new patients |
| Ophthalmology Consultants of Illinois Inc | Optometrist | Current | Accepting new patients |
Locations
7001 W Archer Ave
Chicago, IL 60638
Phone (773) 229-8818
12150 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 361-4778
409 W Ogden Ave
Westmont, IL 60559
Phone (630) 964-9800
Interoperability endpoints
- sfakhoury@ophthalmologyconsultants.direct.eyemdemr.com
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Westmont, IL
- NPI 1942638549
Optometrist
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1467940254
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1780576702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 S FINLEY RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484828",
"telephone_number": "312-451-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W OGDEN AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591421",
"telephone_number": "630-964-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHOURY",
"first_name": "SERENE",
"middle_name": "ANN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004585A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.