Active NPI
Alison Elizabeth Gottlieb, OD
- Optometrist
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008797
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008797 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Center for Eyecare | Current | Accepting new patients | |
| Ocular Partners PLLC | Current | 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
- 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.
-
- Ophthalmic Technician/Technologist
- Homewood, IL
- NPI 1295792901
-
- Durable Medical Equipment & Medical Supplies
- Homewood, IL
- NPI 1821129834
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.