Individual provider Active NPI

Louis L Lipschultz, OD

  • Optometrist
  • Olympia Fields, IL
National Provider Identifier
1841488095
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
19950 Governors Hwy
2ND Floor
Olympia Fields, IL 60461
Phone
(708) 481-4600
Fax
(708) 481-4852
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

19950 Governors Hwy
2ND Floor
Olympia Fields, IL 60461

Mailing address

19950 Governors Hwy
2ND Floor
Olympia Fields, IL 60461
Phone (708) 481-4600

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
I20040227000794 IL Practitioner - Optometry 7214823962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Eye Associates PCGroup PAC ID 4587550223, 2 clinicians

Practice addresses (Care Compare)

19950 Governors Hwy
Olympia Fields, IL 60461-1064
Phone (708) 481-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007932ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Eye Associates PC Optometrist CurrentSince Jun 6, 1987 Accepting new patients

Locations

19950 Governors Hwy
Olympia Flds, IL 60461
Phone (708) 481-4600

19950 Governors Hwy
Fl 2
Olympia Flds, IL 60461
Phone (708) 481-4600

19950 Governors Hwy
Ste 202
Olympia Flds, IL 60461
Phone (708) 481-4600

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1841488095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19950 GOVERNORS HWY",
            "address_2": "2ND FLOOR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-481-4600",
            "fax_number": "708-481-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19950 GOVERNORS HWY",
            "address_2": "2ND FLOOR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "60461",
            "telephone_number": "708-481-4600",
            "fax_number": "708-481-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCHULTZ",
        "first_name": "LOUIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.