Active NPI
Deborah L Klesken, OD
- Optometrist
- Hoffman Estates, IL
National Provider Identifier
1780806448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008402
- Practice address
- 1415 Palatine Rd
Hoffman Estates, IL 60195-1196 - Phone
- (847) 776-8900
- Fax
- (847) 776-8922
- NPI assigned
- May 3, 2007
- Last updated
- May 10, 2022
- 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 | 046008402 | IL | Primary |
Addresses
Primary practice location
1415 Palatine Rd
Hoffman Estates, IL 60195-1196
Mailing address
1415 Palatine Rd
Hoffman Estates, IL 60195-1196
Phone (847) 776-8900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL1228 | Other | IL | EYEMED |
| 346002263 | Other | IL | CONTROLLED SUBSTANCE |
| 046008402 | Other | IL | LICENSED OPTOMETRIST |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khurana Family Eyecare, PLLC | Optometrist | Current | Accepting new patients |
Locations
8400 W North Ave
Melrose Park, IL 60160
Phone (708) 397-2905
Organizations & group practices 1
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
- Melrose Park, IL
- NPI 1922788116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1780806448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 PALATINE RD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601951196",
"telephone_number": "847-776-8900",
"fax_number": "847-776-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PALATINE RD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601951196",
"telephone_number": "847-776-8900",
"fax_number": "847-776-8922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLESKEN",
"first_name": "DEBORAH",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "IL1228",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE",
"identifier": "346002263",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED OPTOMETRIST",
"identifier": "046008402",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.