Individual provider Active NPI

Shereen Rammaha

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1871319749
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.012006 Issued in IL
Practice address
10739 W 159TH St
Orland Park, IL 60467-4531
Phone
(708) 543-6970
NPI assigned
Nov 25, 2024
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.012006 IL Primary

Addresses

Primary practice location

10739 W 159TH St
Orland Park, IL 60467-4531

Mailing address

10031 Derby LN
Mokena, IL 60448-7803

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
I20250820000496 IL Practitioner - Optometry 9739688318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirk P Pavletic OD PCGroup PAC ID 4082733290, 4 clinicians

Practice addresses (Care Compare)

10739 W 159TH St
Orland Park, IL 60467-4531
Phone (708) 403-7711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk P Pavletic OD PC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
John E. Anderson O.D.,LTD Optometrist PastSince Aug 30, 2012 Accepting new patients

Locations

512 W Burlington Ave
Ste 106
Lagrange Hlds, IL 60525
Phone (708) 354-7001

10739 W 159th St
Orland Park, IL 60467
Phone (708) 403-7711

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": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1871319749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 DERBY LN",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-543-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMMAHA",
        "first_name": "SHEREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.012006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.