Individual provider Active NPI

Todd M Hungerford, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1831247113
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008778 Issued in IL
Practice address
1730 W Fullerton Ave
Chicago, IL 60614-1900
Phone
(773) 327-2022
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008778 IL Primary

Addresses

Primary practice location

1730 W Fullerton Ave
Chicago, IL 60614-1900

Mailing address

1730 W Fullerton Ave
Chicago, IL 60614-1900
Phone (773) 327-2022

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
I20040113000118 IL Practitioner - Optometry 9032019286 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Town Eye Care LLCGroup PAC ID 9830619493, 5 clinicians

Practice addresses (Care Compare)

400 W Division St
Chicago, IL 60610-2981
Phone (312) 274-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Old Town Eye Care LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Vidulich, Blase & Valentino, P.C. Optometrist CurrentSince Mar 20, 2012 Accepting new patients
Thaddeus, LTD Optometrist CurrentSince Dec 31, 2018 Accepting new patients
Riverpoint Eye Care LLC Optometrist CurrentSince Jan 2, 2025 Accepting new patients
Wilma, LTD Optometrist CurrentSince Mar 10, 2010 Accepting new patients
Six Corners Eye Care LLC Optometrist CurrentSince Jan 10, 2025 Accepting new patients
Melrose Park Eye Care LLC Optometrist Past Accepting new patients

Locations

1730 W Fullerton Ave
Chicago, IL 60614
Phone (773) 327-3000

400 W Division St
Chicago, IL 60610
Phone (312) 274-1212

400 W Division St
Ste A
Chicago, IL 60610
Phone (312) 274-1212

4017 N Milwaukee Ave
Chicago, IL 60641
Phone (773) 545-2660

904 W North Ave
Melrose Park, IL 60160
Phone (708) 343-6767

Organizations & group practices 8

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1831247113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.