Individual provider Active NPI

Kelly Katherine Scherer, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1881122893
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011241 Issued in IL
Practice address
1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone
(312) 997-3686
Fax
(312) 997-3663
NPI assigned
Jun 3, 2017
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 046011241 IL
Optometrist 152W00000X 046011241 IL Primary

Addresses

Primary practice location

1850 W Roosevelt Rd
Chicago, IL 60608-1200

Mailing address

1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone (312) 997-3686

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
I20181005001848 IL Practitioner - Optometry 4880946607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1850 W Roosevelt Rd
Chicago, IL 60608-1200
Phone (312) 666-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011241ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Chicago Lighthouse for People Who Are Blind Or Visually Impaired Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Tatiyana Urbin, D.C. LTD Past Accepting new patients

Locations

1850 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 997-3686

222 Waukegan Rd
Glenview, IL 60025
Phone (847) 657-1600

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": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1881122893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081200",
            "telephone_number": "312-997-3686",
            "fax_number": "312-997-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081200",
            "telephone_number": "312-997-3686",
            "fax_number": "312-997-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERER",
        "first_name": "KELLY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": "046011241",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.