Ranjini Ganesh Welch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011021 Issued in IL

Practice address

5553 127TH St
Crestwood, IL 60445-1123

Phone

(708) 371-5160

Fax

(708) 930-1844

NPI assigned

Jun 17, 2016

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ranjini Meena Ganesh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1811347180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 N FREMONT ST APT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145083",
            "telephone_number": "708-371-5160",
            "fax_number": "516-243-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5553 127TH ST",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451123",
            "telephone_number": "708-371-5160",
            "fax_number": "708-930-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "RANJINI",
        "middle_name": "GANESH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANJINI",
            "last_name": "GANESH",
            "middle_name": "MEENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.