Individual provider Active NPI

John P. Capellani, O.D.

  • Optometrist
  • Franklin Park, IL
National Provider Identifier
1861484743
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0046-009006 Issued in IL
Practice address
3541 Rose St
Suite B
Franklin Park, IL 60131
Phone
(847) 678-0808
Fax
(847) 678-0828
NPI assigned
Aug 17, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 0046-009006 IL Primary

Addresses

Primary practice location

3541 Rose St
Suite B
Franklin Park, IL 60131

Mailing address

3541 Rose St
Suite B
Franklin Park, IL 60131
Phone (847) 678-0808

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
I20061220000091 IL Practitioner - Optometry 4284633298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3541 Rose St
Suite B
Franklin Park, IL 60131-2043
Phone (847) 678-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0046-009006ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Park Eye Center, P.C. Optometrist CurrentSince Sep 1, 2000 Accepting new patients
United Eye Care Providers, LLC Optometrist PastSince Dec 26, 2006 Accepting new patients

Locations

3541 Rose St
Ste B
Franklin Park, IL 60131
Phone (847) 455-0808

Organizations & group practices 2

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861484743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 ROSE ST",
            "address_2": "SUITE B",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "60131",
            "telephone_number": "847-678-0808",
            "fax_number": "847-678-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 ROSE ST",
            "address_2": "SUITE B",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "60131",
            "telephone_number": "847-678-0808",
            "fax_number": "847-678-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPELLANI",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046-009006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

Verify at the official NPI Registry.