Individual provider Active NPI

Linda Slavonic Murray, O.D.

  • Optometrist
  • Mount Prospect, IL
National Provider Identifier
1851424006
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007101 Issued in IL
Practice address
111 W Prospect Ave
Mt Prospect, IL 60056-3135
Phone
(847) 253-2100
Fax
(847) 253-2111
NPI assigned
Mar 14, 2007
Last updated
Nov 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046007101 IL Primary

Addresses

Primary practice location

111 W Prospect Ave
Mt Prospect, IL 60056-3135

Mailing address

111 W Prospect Ave
Mt Prospect, IL 60056-3135
Phone (847) 253-2100

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
I20090116000593 IL Practitioner - Optometry 2062575038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 W Prospect Ave
Mount Prospect, IL 60056-3135
Phone (847) 253-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007101ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Linda Eye Care Inc Optometrist CurrentSince Sep 1, 2011 Accepting new patients

Locations

111 W Prospect Ave
Mt Prospect, IL 60056
Phone (847) 253-2100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1851424006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W PROSPECT AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563135",
            "telephone_number": "847-253-2100",
            "fax_number": "847-253-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W PROSPECT AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563135",
            "telephone_number": "847-253-2100",
            "fax_number": "847-253-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "LINDA",
        "middle_name": "SLAVONIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.