Active NPI
Robert Alongi, O.D.
- Optometrist
- Gurnee, IL
National Provider Identifier
1902863855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046007902
- Practice address
- 312 Tri State Pkwy
Ste. 100
Gurnee, IL 60031-5283 - Phone
- (847) 623-3937
- Fax
- (847) 623-9836
- NPI assigned
- Apr 26, 2006
- Last updated
- Jan 26, 2018
- 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 | 046007902 | IL | Primary |
Addresses
Primary practice location
312 Tri State Pkwy
Ste. 100
Gurnee, IL 60031-5283
Mailing address
312 Tri State Pkwy
Ste. 100
Gurnee, IL 60031-5283
Phone (847) 623-3937
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208248 | Other | IL | MEDICARE GROUP NUMBER |
| 4923647 | Other | IL | BLUE SHIELD PROVIDER NUM |
| 4932533 | Other | IL | BLUE SHIELD PROVIDER NUM |
| P00259509 | Other | IL | MEDICARE RAILRAOD |
| DD9094 | Other | IL | MEDICARE RAILROAD GROUP# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Optometrist
- Gurnee, IL
- NPI 1588850648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1902863855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 TRI STATE PKWY",
"address_2": "STE. 100",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315283",
"telephone_number": "847-623-3937",
"fax_number": "847-623-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 TRI STATE PKWY",
"address_2": "STE. 100",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315283",
"telephone_number": "847-623-3937",
"fax_number": "847-623-9836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONGI",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046007902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "208248",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUM",
"identifier": "4923647",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUM",
"identifier": "4932533",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILRAOD",
"identifier": "P00259509",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP#",
"identifier": "DD9094",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.