Organization Active NPI

Randall R Ricketts OD LLC

  • Optometrist
  • Chicago, IL
National Provider Identifier
1881264141
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RANDALL R RICKETTS OD LLC
Practice address
2338 N Clark St
Chicago, IL 60614-7043
Phone
(773) 857-1260
Fax
(773) 857-1624
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Jamie Alexakos
Title
Business Manager
Phone
(773) 857-1260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2338 N Clark St
Chicago, IL 60614-7043

Mailing address

1133 W Pratt Blvd Apt 1
Chicago, IL 60626-6781
Phone (773) 857-1260

Other practice location 1

52 S La Grange Rd
LA Grange, IL 60525-2429
Phone (708) 469-7901

Other identifiers 2

IdentifierTypeStateIssuer
1003395633OtherILNPI
1083823611OtherILNPI

Other names 1

  • Eye Mechanix Doing business as

National Provider Directory

National Provider Directory

Locations

52 S La Grange Rd
La Grange, IL 60525
Phone (708) 469-7901

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1881264141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 W PRATT BLVD APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266781",
            "telephone_number": "773-857-1260",
            "fax_number": "773-857-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147043",
            "telephone_number": "773-857-1260",
            "fax_number": "773-857-1624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 S La Grange Rd",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "IL",
            "postal_code": "605252429",
            "country_code": "US",
            "telephone_number": "708-469-7901",
            "fax_number": "708-469-7902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANDALL R RICKETTS OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "ALEXAKOS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "773-857-1260"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003395633",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083823611",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Mechanix",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Mechanix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.