Individual provider Active NPI

Liad Ganz Pearlman, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1972876076
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009603 Issued in IL
Practice address
3547 N Fremont St
#1N
Chicago, IL 60657-7053
Phone
(773) 209-6251
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009603 IL Primary

Addresses

Primary practice location

3547 N Fremont St
#1N
Chicago, IL 60657-7053

Mailing address

3547 N Fremont St
#1N
Chicago, IL 60657-7053
Phone (773) 209-6251

Other names 1

  • Dr. Liad Ganz Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fenner Plastic Surgery, LTD. PastSince Jun 14, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1972876076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 N FREMONT ST",
            "address_2": "#1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577053",
            "telephone_number": "773-209-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 N FREMONT ST",
            "address_2": "#1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577053",
            "telephone_number": "773-209-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZ PEARLMAN",
        "first_name": "LIAD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIAD",
            "last_name": "GANZ",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Feb 20, 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.

Verify at the official NPI Registry.