Active NPI
Ludmila Weinstein, OD
- Optometrist
- Chicago, IL
National Provider Identifier
1902912884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008499
- Practice address
- 6801 N California Ave
Chicago, IL 60645-4512 - Phone
- (773) 743-4300
- Fax
- (773) 743-5132
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- 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 | 046008499 | IL | Primary |
Addresses
Primary practice location
6801 N California Ave
Chicago, IL 60645-4512
Mailing address
6801 N California Ave
Chicago, IL 60645-4512
Phone (773) 743-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001684640 | Other | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046008499 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1902912884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606454512",
"telephone_number": "773-743-4300",
"fax_number": "773-743-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606454512",
"telephone_number": "773-743-4300",
"fax_number": "773-743-5132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "LUDMILA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0001684640",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.