Yesenia Magallanes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010844 Issued in IL

Practice address

6322 S Archer Ave
Chicago, IL 60638-2521

Phone

(773) 585-2022

Fax

(773) 585-2027

NPI assigned

Dec 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1992103824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083148",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382521",
            "telephone_number": "773-585-2022",
            "fax_number": "773-585-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALLANES",
        "first_name": "YESENIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Veronica Magallanes, RN
• Jacqueline Magallanes, DMD
• Lea G Magallanes, PT
• Lou Montserrat Arago Magallanes, OT
• Vanessa Magallanes, LCPC
• Lizbeth Magana Gutierrez
• Daniel Magana Huynh
• Amanda Lucia Magana
• Gadiel Magana
• Leticia Magana, LSW

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.