Active NPI
Henna Jawdi, O.D.
- Optometrist
- Orland Hills, IL
National Provider Identifier
1831548288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010987
- Practice address
- 9265 159TH St
Orland Hills, IL 60487-5977 - Phone
- (708) 349-4360
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010987 | IL | Primary |
Addresses
Primary practice location
9265 159TH St
Orland Hills, IL 60487-5977
Mailing address
16420 Shawnee Dr
Lockport, IL 60441-4391
Phone (708) 691-3992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Fairview Heights, IL
- NPI 1891880977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831548288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16420 SHAWNEE DR",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604414391",
"telephone_number": "708-691-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9265 159TH ST",
"city": "ORLAND HILLS",
"state": "IL",
"postal_code": "604875977",
"telephone_number": "708-349-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAWDI",
"first_name": "HENNA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.