Organization Active NPI

Ophthalmology Consultants of Illinois Inc

Doing business as Westmont Vision Center

  • Ophthalmology Physician
  • Westmont, IL
National Provider Identifier
1942638549
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMOLOGY CONSULTANTS OF ILLINOIS INC
Doing business as
Westmont Vision Center
Practice address
409 W Ogden Ave
Westmont, IL 60559-1421
Phone
(630) 964-9800
Fax
(888) 598-6004
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Babu Narayan Ponakala, MD
Title
President
Phone
(630) 964-9800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

409 W Ogden Ave
Westmont, IL 60559-1421

Mailing address

409 W Ogden Ave
Westmont, IL 60559-1421
Phone (630) 964-9800

Other practice location 1

12150 S Harlem Ave
Palos Heights, IL 60463-1435
Phone (708) 274-8700

Other practice location 2

7001 W Archer Ave
Chicago, IL 60638-2201
Phone (773) 229-8818

Other names 1

  • WESTMONT VISION CENTER Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 773-229-8423
CONNECT URL 7732298423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140109000694 IL Part B Supplier - Clinic/Group Practice 1456589829 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Chicago, IL; Westmont, IL; Palos Heights, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

11845 Southwest Hwy
Unit 1012
Palos Heights, IL 60463

409 W Ogden Ave
Westmont, IL 60559
Phone (630) 964-9800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1942638549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591421",
            "telephone_number": "630-964-9800",
            "fax_number": "888-598-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591421",
            "telephone_number": "630-964-9800",
            "fax_number": "888-598-6004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12150 S Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631435",
            "country_code": "US",
            "telephone_number": "708-274-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 W Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606382201",
            "country_code": "US",
            "telephone_number": "773-229-8818",
            "fax_number": "773-229-8423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPHTHALMOLOGY CONSULTANTS OF ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "PONAKALA",
        "authorized_official_first_name": "BABU",
        "authorized_official_middle_name": "NARAYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-964-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "773-229-8423",
            "affiliation": "N",
            "endpointDescription": "Chicago",
            "address_1": "7001 W Archer Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606382201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "7732298423",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "address_1": "7001 W Archer Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606382201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WESTMONT VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WESTMONT VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.