Individual provider Active NPI

Stephanie Digiorgio, O.D.

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1831549666
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011009 Issued in IL
Practice address
9031 W 151St St
Suite 101
Orland Park, IL 60462-6540
Phone
(708) 460-2010
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011009 IL Primary

Addresses

Primary practice location

9031 W 151St St
Suite 101
Orland Park, IL 60462-6540

Mailing address

9031 W 151St St
Suite 101
Orland Park, IL 60462-6540
Phone (708) 460-2010

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
I20160624002111 IL Practitioner - Optometry 1850682626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Source, P.C.Group PAC ID 7113968199, 2 clinicians

Practice addresses (Care Compare)

9031 W 151St St
Suite 101
Orland Park, IL 60462-6562
Phone (708) 460-2010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011009ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Source, P.C. Optometrist CurrentSince Jun 20, 2016 Accepting new patients
Krates Eye Centers PLLC PastSince Sep 27, 2016 Accepting new patients

Locations

9031 W 151st St
Ste 101
Orland Park, IL 60462
Phone (708) 460-2010

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1831549666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 W 151ST ST",
            "address_2": "SUITE 101",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626540",
            "telephone_number": "708-460-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 W 151ST ST",
            "address_2": "SUITE 101",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626540",
            "telephone_number": "708-460-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIORGIO",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.