Individual provider Active NPI

Cathleen Ann Cavender, O.D.

  • Optometrist
  • Calumet City, IL
National Provider Identifier
1811051659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
2 Riveroaks Dr
River Oaks Shopping Center
Calumet City, IL 60409-1901
Phone
(708) 891-7076
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

2 Riveroaks Dr
River Oaks Shopping Center
Calumet City, IL 60409-1901

Mailing address

526 Willow LN
PO Box 733
Beecher, IL 60401
Phone (708) 946-2740

Other names 1

  • Cathleen Ann Unruh Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000715 IL Practitioner - Optometry 0244323780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc CurrentSince Oct 8, 2013 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Oct 8, 2013 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Cole Vision Corporation Optometrist Past Accepting new patients
Fisher-Swale-Nicholson Eye Center SC Optometrist PastSince Jan 1, 2007 Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients

Locations

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811051659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 WILLOW LN",
            "address_2": "PO BOX 733",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "60401",
            "telephone_number": "708-946-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RIVEROAKS DR",
            "address_2": "RIVER OAKS SHOPPING CENTER",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604091901",
            "telephone_number": "708-891-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVENDER",
        "first_name": "CATHLEEN",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHLEEN",
            "last_name": "UNRUH",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.