Avalon Victoria Hindman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010771 Issued in IL

Practice address

3125 S Ashland Ave
Suite 240
Chicago, IL 60608-6252

Phone

(773) 890-1100

Fax

(773) 890-1580

NPI assigned

Jul 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Avalon Victoria Williams Former name

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bridgeport Eye Care, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1144711243
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1912314477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE",
            "address_2": "SUITE 240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086252",
            "telephone_number": "773-890-1100",
            "fax_number": "773-890-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE",
            "address_2": "SUITE 240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086252",
            "telephone_number": "773-890-1100",
            "fax_number": "773-890-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDMAN",
        "first_name": "AVALON",
        "middle_name": "VICTORIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVALON",
            "last_name": "WILLIAMS",
            "middle_name": "VICTORIA",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Moss Hinchcliff, M.D.
• Rachel Hinckley, RN, IBCLC
• Anna Hindelang
• Samar T Hindi
• Peter James Hindley
• Shariss Hindman, MSW QMHP
• Daniel James Hindmand, DO
• Claudia Hindo
• Hinds & O'Brien Counseling
• Liana Hinds-Pereira, DO, MS

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.

Verify at the official NPI Registry.