Individual provider Active NPI

Dawn M Tuminello, OD

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1851469456
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008835 Issued in IL
Practice address
11319 W 143Rd Street
Orland Park, IL 60467-7221
Phone
(708) 460-2020
Fax
(708) 460-2025
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 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 046008835 IL Primary

Addresses

Primary practice location

11319 W 143Rd Street
Orland Park, IL 60467-7221

Mailing address

11319 W 143Rd Street
Orland Park, IL 60467-7221
Phone (708) 460-2020

Other identifiers 1

IdentifierTypeStateIssuer
1633253OtherILBCBS

Other names 1

  • Dawn M Wlodarski Former name

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
I20060410000277 IL Practitioner - Optometry 7517976194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Was Framed Optical LTDGroup PAC ID 0345259925, 2 clinicians

Practice addresses (Care Compare)

11319 W 143Rd St
Orland Park, IL 60467-7221
Phone (708) 460-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008835ILMDOptometrist

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1851469456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 W 143RD STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677221",
            "telephone_number": "708-460-2020",
            "fax_number": "708-460-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11319 W 143RD STREET",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677221",
            "telephone_number": "708-460-2020",
            "fax_number": "708-460-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMINELLO",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1633253",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "WLODARSKI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.