Erwin Cabela, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009094 Issued in IL

Practice address

4113 Saint Charles Rd
Bellwood, IL 60104-1145

Phone

(708) 493-9306

Fax

(708) 493-0144

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Idoc Inc.

  • Optometrist
  • Bellwood, IL
  • NPI 1255532248
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992710578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 12TH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605253118",
            "telephone_number": "708-369-7346",
            "fax_number": "708-493-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 SAINT CHARLES RD",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601041145",
            "telephone_number": "708-493-9306",
            "fax_number": "708-493-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABELA",
        "first_name": "ERWIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "0001636017",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dinah L. Buckhoy, D.C.
• Shontayel Burrell
• Michelle Byjos, FNP-C
• Wytonya Cheri Byrd
• C&M Safe and Secure Transportation Services, LLC
• Maribel Caguana, LCSW
• Jessie Wayne Castro
• Change Homehealth
• Community Imaging LLC
• Janay Bernyce Conley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.