Active NPI
Larry Howard Nierman, O.D.
- Optometrist
- Buffalo Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0046006885
- Practice address
- 151 McHenry Rd
Buffalo Grove, IL 60089-1796 - Phone
- (847) 459-6626
- Fax
- (847) 459-6696
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0046006885 | IL | Primary |
Addresses
Primary practice location
151 McHenry Rd
Buffalo Grove, IL 60089-1796
Mailing address
151 McHenry Rd
Buffalo Grove, IL 60089-1796
Phone (847) 459-6626
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4196 Il Route 83
Long Grove, IL 60047-9563
Phone (847) 955-9999
6233 Cermak Rd
Berwyn, IL 60402-2317
Phone (708) 749-2020
6235 Cermak Rd
Berwyn, IL 60402-2317
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0046006885 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nierman Nierman & Nierman | Current | Accepting new patients | |
| Rosin Optical Co., Inc. | Current | Accepting new patients | |
| Rosin Optical Co., Inc | Optometrist | Current | Accepting new patients |
Locations
6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020
151 McHenry Rd
Buffalo Grove, IL 60089
Phone (312) 337-1126
243 W North Ave
Chicago, IL 60610
Phone (312) 337-1126
Organizations & group practices 3
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.
-
- Optometrist
- Berwyn, IL
- NPI 1235343641
-
- Ophthalmologic Surgery Clinic/Center
- Buffalo Grove, IL
- NPI 1184896219
-
- Eyewear Supplier
- Chicago, IL
- NPI 1497980809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1891839114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 MCHENRY RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891796",
"telephone_number": "847-459-6626",
"fax_number": "847-459-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 MCHENRY RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891796",
"telephone_number": "847-459-6626",
"fax_number": "847-459-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIERMAN",
"first_name": "LARRY",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "0046006885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.