Individual provider Active NPI

Lawrence David Wolin, MD

  • Ophthalmology Physician
  • Arlington Heights, IL
National Provider Identifier
1982606836
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036059451 Issued in IL
Practice address
1602 W Central Rd
Arlington Heights, IL 60005-2407
Phone
(847) 255-3515
Fax
(847) 255-8727
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036059451 IL Primary

Addresses

Primary practice location

1602 W Central Rd
Arlington Heights, IL 60005-2407

Mailing address

1602 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 255-3515

Other identifiers 4

IdentifierTypeStateIssuer
2599030001OtherILDMERC
1623380OtherILBCBS
036059451MedicaidIL
180037165OtherILMEDICARE RAILROAD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000752 IL Practitioner - Ophthalmology 1153218375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence D Wolin MD SCGroup PAC ID 1850461906, 2 clinicians

Practice addresses (Care Compare)

1602 W Central Rd
Arlingtion Heighs, IL 60005-2407
Phone (847) 255-3515

Merit-based Incentive Payment System (MIPS)

Final score
23.79 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence D. Wolin, M.D.,S.C. Ophthalmology CurrentSince Apr 3, 2008 Accepting new patients
Lawrence D Wolin MD SC Past Accepting new patients

Locations

1602 W Central Rd
Arlington Hts, IL 60005
Phone (847) 255-3515

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1982606836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-255-3515",
            "fax_number": "847-255-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-255-3515",
            "fax_number": "847-255-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLIN",
        "first_name": "LAWRENCE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036059451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "2599030001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1623380",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059451",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180037165",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.