NPIMap

Organization Active NPI

Oksana Mensheha, M.D., S.C.

  • Optometrist
  • Libertyville, IL
National Provider Identifier
1851431571
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36053536 Issued in IL
Legal business name
OKSANA MENSHEHA, M.D., S.C.
Practice address
1117 S Milwaukee Ave
Forum Square a-10
Libertyville, IL 60048-3798
Phone
(847) 367-6780
Fax
(847) 367-6861
NPI assigned
Feb 8, 2007
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Oksana MenshehaNPI 1679549661
Title
President
Phone
(847) 367-6780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 36053536 IL Primary

Addresses

Primary practice location

1117 S Milwaukee Ave
Forum Square a-10
Libertyville, IL 60048-3798

Mailing address

1117 S Milwaukee Ave
Forum Square a-10
Libertyville, IL 60048-3798
Phone (847) 367-6780

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address omensheha237039@direct.myadvocateaurora.org
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

National Provider Directory

National Provider Directory

Locations

1117 S Milwaukee Ave
#10
Libertyville, IL 60048
Phone (847) 367-6780

Interoperability endpoints

  • Direct secure messaging: omensheha237039@direct.myadvocateaurora.org

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1851431571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVE",
            "address_2": "FORUM SQUARE A-10",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483798",
            "telephone_number": "847-367-6780",
            "fax_number": "847-367-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVE",
            "address_2": "FORUM SQUARE A-10",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483798",
            "telephone_number": "847-367-6780",
            "fax_number": "847-367-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKSANA MENSHEHA, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "MENSHEHA",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-367-6780"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "36053536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "omensheha237039@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1117 S Milwaukee Ave",
            "address_2": "Forum Square A-10",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600483798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1117 S Milwaukee Ave",
            "address_2": "Forum Square A-10",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600483798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.