Active NPI
Ammar Jawdi, O.D.
- Optometrist
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010990
- Practice address
- 10550 S Cicero Ave
Oak Lawn, IL 60453-5597 - Phone
- (708) 499-3911
- Fax
- (708) 424-5318
- NPI assigned
- Jun 9, 2016
- 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 | 046010990 | IL | Primary |
Addresses
Primary practice location
10550 S Cicero Ave
Oak Lawn, IL 60453-5597
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10550 S Cicero Ave
Oak Lawn, IL 60453-5597
Phone (708) 499-3911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Past | Accepting new patients |
Locations
310 S Weber Rd
Bolingbrook, IL 60490
Phone (630) 771-0600
585 River Oaks W
Calumet City, IL 60409
Phone (219) 924-9714
5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020
370 Houbolt Rd
Ste 102
Joliet, IL 60431
Phone (815) 729-9143
3224 Ridge Rd
Ste 102
Lansing, IL 60438
Phone (708) 895-4422
106 Ridge Rd
Ste 112
Minooka, IL 60447
Phone (815) 467-7090
10550 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 499-3911
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 4
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.
-
- Optometrist
- Chicago, IL
- NPI 1245695378
-
- Optometrist
- Chicago, IL
- NPI 1154297752
-
- Optometrist
- Chicago, IL
- NPI 1427413327
-
- Optometrist
- Evanston, IL
- NPI 1396100434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1922457068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10550 S CICERO AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535597",
"telephone_number": "708-499-3911",
"fax_number": "708-424-5318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAWDI",
"first_name": "AMMAR",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.