Individual provider Active NPI

Lauren Alley Rodolfo, O.D.

  • Optometrist
  • Arlington HTS, IL
National Provider Identifier
1922306687
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-010264 Issued in IL
Practice address
1131 S Arlington Heights Rd
Arlington HTS, IL 60005-3140
Phone
(847) 290-1131
Fax
(847) 290-1146
NPI assigned
Mar 4, 2011
Last updated
Mar 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-010264 IL Primary

Addresses

Primary practice location

1131 S Arlington Heights Rd
Arlington HTS, IL 60005-3140

Mailing address

1131 S Arlington Heights Rd
Arlington HTS, IL 60005-3140
Phone (847) 290-1131

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

LicenseStateTypeSpecialty
046-010264ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin M Matus OD Optometrist Past Accepting new patients
Haris Medical Group LLC Past Accepting new patients

Organizations & group practices 2

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": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1922306687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600053140",
            "telephone_number": "847-290-1131",
            "fax_number": "847-290-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600053140",
            "telephone_number": "847-290-1131",
            "fax_number": "847-290-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODOLFO",
        "first_name": "LAUREN",
        "middle_name": "ALLEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-010264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.