Individual provider Active NPI

Nicholas Anthony Chiaramonti, O.D.

  • Optometrist
  • Berwyn, IL
National Provider Identifier
1841262540
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008520 Issued in IL
Practice address
6233 Cermak Rd
Berwyn, IL 60402-2317
Phone
(708) 749-2020
Fax
(708) 749-2069
NPI assigned
Feb 6, 2006
Last updated
Sep 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008520 IL Primary

Addresses

Primary practice location

6233 Cermak Rd
Berwyn, IL 60402-2317

Mailing address

1067 S Fairview Ave
Lombard, IL 60148-4035
Phone (630) 546-8319

Other identifiers 1

IdentifierTypeStateIssuer
046008520MedicaidIL

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
I20031204000529 IL Practitioner - Optometry 9931004777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

145 Ogden Ave
Downers Grove, IL 60515-2323
Phone (630) 749-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008520ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc. Optometrist CurrentSince Jan 1, 1994 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jan 11, 1974 Accepting new patients
Northwestern-Rosin Eyecare LLC PastSince Apr 24, 2009 Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

698 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 545-2020

4760 Main St
Lisle, IL 60532
Phone (630) 230-1493

705 E Ogden Ave
Naperville, IL 60563
Phone (630) 388-6606

Organizations & group practices 59

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1841262540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 S FAIRVIEW AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484035",
            "telephone_number": "630-546-8319",
            "fax_number": "708-749-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022317",
            "telephone_number": "708-749-2020",
            "fax_number": "708-749-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARAMONTI",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008520",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.