Individual provider Active NPI

Julia Hasia Estrin-Rosselson, O.D.

  • Optometrist
  • Arlington Heights, IL
National Provider Identifier
1821151689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
1500 N Arlington Heights Rd
1504
Arlington Heights, IL 60004-4827
Phone
(847) 255-9922
Fax
(847) 255-8699
NPI assigned
Dec 19, 2006
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

1500 N Arlington Heights Rd
1504
Arlington Heights, IL 60004-4827

Mailing address

23 Longridge CT
Buffalo Grove, IL 60089-7028
Phone (847) 919-5269

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
I20070730000170 IL Practitioner - Optometry 2769583111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare of Arlington Heights CorpGroup PAC ID 6204227184, 3 clinicians

Practice addresses (Care Compare)

27 S Vail Ave
Suite 1840
Arlington Heights, IL 60005-1840
Phone (847) 368-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008998ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare of Arlington Heights Corp Optometrist CurrentSince Jun 13, 2022 Accepting new patients
Joann F Hamm OD PC Optometrist Past Accepting new patients

Locations

27 S Vail Ave
Ste 1840
Arlington Heights, IL 60005

27 S Vail Ave
#1840
Arlington Hts, IL 60005
Phone (847) 368-9800

Organizations & group practices 2

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.

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": "1821151689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LONGRIDGE CT",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600897028",
            "telephone_number": "847-919-5269",
            "fax_number": "847-255-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N ARLINGTON HEIGHTS RD",
            "address_2": "1504",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044827",
            "telephone_number": "847-255-9922",
            "fax_number": "847-255-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRIN-ROSSELSON",
        "first_name": "JULIA",
        "middle_name": "HASIA",
        "name_prefix": "Dr.",
        "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": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.