Andrew Eric Kohn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010334 Issued in IL

Practice address

1125 Greenleaf Ave
Wilmette, IL 60091-2708

Phone

(812) 219-9983

NPI assigned

Jul 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilmette Eye Care LLCGroup PAC ID 5698017580, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wilmette Eye Care LLC

  • Optometrist
  • Wilmette, IL
  • NPI 1215433818
  Medicare reassignment Care Compare group NPD Authorized official
• Exemplary Eyecare PLLC

  • Optometrist
  • Chicago, IL
  • NPI 1093451833
  NPD (past)
• United Eye Care Providers, LLC

  • Optometrist
  • Lemont, IL
  • NPI 1013070093
  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1831402130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S SANGAMON ST APT 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073010",
            "telephone_number": "812-219-9983",
            "fax_number": "773-782-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 GREENLEAF AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912708",
            "telephone_number": "812-219-9983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2158 N Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606479597",
            "country_code": "US",
            "telephone_number": "773-782-1660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHN",
        "first_name": "ANDREW",
        "middle_name": "ERIC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003654A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kline, OTR/L
• John Knapp
• Gaye Desiree Koconis, CNM
• James W Kohl, DDS
• Craig S. Kohler, DDS.
• Lynett Marie Kopec-Mohr, ATR, LCPC
• Ewa Kopec, M.S., P.T.
• Amelia Eades Koplow, LCSW
• Isabella Christine Korsgard
• Chloe Korst, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.