Individual provider Active NPI

Alison Elizabeth Gottlieb, OD

  • Optometrist
  • Greenwood, SC
National Provider Identifier
1831683069
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008797 Issued in NY
Practice address
853 Bypass 72 NW
Greenwood, SC 29649-1203
Phone
(864) 388-9663
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008797 NY Primary

Addresses

Primary practice location

853 Bypass 72 NW
Greenwood, SC 29649-1203

Mailing address

405 Gatewood Dr
Greenwood, SC 29646-8526
Phone (864) 992-1269

Other practice location 1

1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 590-1800

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801002870 IL Practitioner - Ophthalmology 3173854478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocular Partners PLLCGroup PAC ID 7113829532, 20 clinicians

Practice addresses (Care Compare)

2640 W 183Rd St
Homewood, IL 60430-2914
Phone (708) 798-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008797NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Center for Eyecare Current Accepting new patients
Ocular Partners PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

5086 N Elston Ave
Chicago, IL 60630
Phone (773) 282-2000

1525 E 53rd St
Ste 1002
Chicago, IL 60615
Phone (773) 288-2020

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

1431 N Western Ave
Chicago, IL 60622
Phone (312) 633-5866

2640 183rd St
Homewood, IL 60430
Phone (708) 798-6633

11600 S Kedzie Ave
Ste H
Merrionette Park, IL 60803
Phone (708) 377-3730

9731 165th St
Ste 31
Orland Park, IL 60467
Phone (708) 364-0020

Interoperability endpoints

  • Direct secure messaging: agottlieb@opillinois.intellechartdirect.net

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1831683069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GATEWOOD DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468526",
            "telephone_number": "864-992-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 BYPASS 72 NW",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491203",
            "telephone_number": "864-388-9663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577606",
            "country_code": "US",
            "telephone_number": "718-590-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "ALISON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.