Individual provider Active NPI

Laura M Rosanova-Philipp, O.D.

  • Optometrist
  • Palatine, IL
National Provider Identifier
1982789996
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009449 Issued in IL
Practice address
456 W Northwest Hwy Ste 100
Palatine, IL 60067-2540
Phone
(847) 358-4950
Fax
(847) 358-4990
NPI assigned
Oct 26, 2006
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009449 IL Primary

Addresses

Primary practice location

456 W Northwest Hwy Ste 100
Palatine, IL 60067-2540

Mailing address

456 W Northwest Hwy Ste 100
Palatine, IL 60067-2540
Phone (847) 358-4950

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000929 IL Practitioner - Optometry 6608906003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palatine Vision Center, LLCGroup PAC ID 0244360642, 5 clinicians

Practice addresses (Care Compare)

456 W Northwest Hwy
A
Palatine, IL 60067-2560
Phone (847) 358-4950

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palatine Vision Center, LLC Optometrist CurrentSince Jul 1, 2002 Accepting new patients

Locations

456 W Northwest Hwy
#A
Palatine, IL 60067
Phone (847) 358-4950

456 W Northwest Hwy
Ste 100
Palatine, IL 60067
Phone (847) 358-4950

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, 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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1982789996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 W NORTHWEST HWY STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672540",
            "telephone_number": "847-358-4950",
            "fax_number": "847-358-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 W NORTHWEST HWY STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672540",
            "telephone_number": "847-358-4950",
            "fax_number": "847-358-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSANOVA-PHILIPP",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.