Adam J Ottaviano

Primary specialty

OptometristTaxonomy code 152W00000X

License

346.003090046.010342 Issued in IL

Practice address

2625 Elisha Ave
Zion, IL 60099-2607

Phone

(847) 746-1223

Fax

(847) 746-1225

NPI assigned

Jul 30, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake County Vision Care PCGroup PAC ID 8820162340, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lake County Vision Care P.C.

  • Optometrist
  • Zion, IL
  • NPI 1376700062
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1801100094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 ELISHA AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992607",
            "telephone_number": "847-746-1223",
            "fax_number": "847-746-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 ELISHA AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992607",
            "telephone_number": "847-746-1223",
            "fax_number": "847-746-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAVIANO",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "346.003090046.010342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "216799001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NV Clinic & Wellness
• Alicia M Nykiel, DNP, FNP-BC
• Williams K. Ojo, CSFA
• Irina V Onegova
• Diane Lee Ostebee, MACP LCPC
• Pedro Palu-Ay, MD
• Sharon Park, PHARMD
• Partners Dental P.C.
• Jessica H. Partyka, FNP-BC
• Jalpa M Patel, PA-C

• Optometrist in Zion, IL
• Providers in Zion, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.