Organization Active NPI

Rosin Optical Co. Inc.

  • Optometrist
  • Libertyville, IL
National Provider Identifier
1801393145
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROSIN OPTICAL CO. INC.
Practice address
307 S Milwaukee Ave
Libertyville, IL 60048-2818
Phone
(847) 362-3444
Fax
(847) 362-4672
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Dr. Nicholas Anthony Chiaramonti, O.D.
Title
Director
Phone
(630) 546-8319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

307 S Milwaukee Ave
Libertyville, IL 60048-2818

Mailing address

6233 Cermak Rd
Berwyn, IL 60402-2317
Phone (708) 749-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000262 IL Part B Supplier - Clinic/Group Practice 8022921758 Receives reassigned benefits from 90 practitioners
43 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Naperville, IL; Glen Ellyn, IL; McHenry, IL; Long Grove, IL; Lisle, IL; Libertyville, IL; La Grange, IL; Joliet, IL…

Other NPIs on the same Medicare enrollment 43

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 43

National Provider Directory

National Provider Directory
Tax ID family
Rosin Eyecare Napervill39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1801393145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022317",
            "telephone_number": "708-749-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482818",
            "telephone_number": "847-362-3444",
            "fax_number": "847-362-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSIN OPTICAL CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "CHIARAMONTI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-546-8319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.