Individual provider Active NPI

Bhanu Kapoor, O.D.

  • Corneal and Contact Management Optometrist
  • Rosemont, IL
National Provider Identifier
1891885695
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Practice address
7000 Mannheim Rd
Rosemont, IL 60018-3621
Phone
(847) 795-1807
Fax
(847) 795-0141
NPI assigned
Oct 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X IL Primary

Addresses

Primary practice location

7000 Mannheim Rd
Rosemont, IL 60018-3621

Mailing address

7000 Mannheim Rd
Rosemont, IL 60018-3621
Phone (847) 795-1807

Other identifiers 2

IdentifierTypeStateIssuer
1635275OtherILBLUE CROSS BLUE SHIELD
7520397OtherILAETNA PROVIDER NUMBER

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
I20050801001066 IL Practitioner - Optometry 2466480306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

930 E Mount Prospect Plaza
Mount Prospect, IL 60056-2652
Phone (847) 590-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009469ILMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kapoor Vision Consultants, LTD Corneal and Contact Management CurrentSince Mar 20, 2005 Accepting new patients

Locations

930 Mount Prospect Plz
Mt Prospect, IL 60056
Phone (847) 590-0007

7000 Mannheim Rd
Rosemont, IL 60018
Phone (847) 768-5601

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891885695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 MANNHEIM RD",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600183621",
            "telephone_number": "847-795-1807",
            "fax_number": "847-795-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 MANNHEIM RD",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600183621",
            "telephone_number": "847-795-1807",
            "fax_number": "847-795-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "BHANU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1635275",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7520397",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemont, IL

Sources for this page

Verify at the official NPI Registry.