JAMES L SEMENTILLI O.D.
NPI 1922157031
Optometrist in Chicago, IL
NPI Status: Active since January 09, 2007
Contact Information
205 N MICHIGAN AVE
CHICAGO, IL
ZIP 60601
Phone: (312) 819-0205
- Individual
- Male
- Optometrist
- Accepts Insurance
About JAMES SEMENTILLI
This page provides the complete NPI Profile along with additional information for James Sementilli, a provider established in Chicago, Illinois with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1922157031 assigned on January 2007. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1922157031
- Provider Name
- JAMES L SEMENTILLI O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 205 N MICHIGAN AVE CHICAGO, IL 60601
- Location Phone
- (312) 819-0205
- Mailing Address
- 225 N MICHIGAN AVE CHICAGO, IL 60601
- Mailing Phone
- (312) 819-0206
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-09-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License State
- IL
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| U36137 | MEDICARE UPIN (02) | IL | |
| L77822 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 2 | 2 | 1 | 5 | 7 | 0 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 2 | 5 | 14 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 2 + 5 + 1 + 4 + 0 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1922157031 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881794923 | DR. ALAN S KUSHNER D.D.S Individual | Dentist (General Practice) | 205 N MICHIGAN AVE 2214 CHICAGO, IL 60601 (312) 819-1460 |
| 1831248939 | RADHIKA CHANDRASEKAR O.D. Individual | Optometrist | 205 N MICHIGAN AVE CHICAGO, IL 60601 (312) 819-0205 |
| 1780736488 | DR. RICHARD BECKER D.D.S Individual | Dentist (General Practice) | 205 N MICHIGAN AVE 2214 CHICAGO, IL 60601 (312) 819-1460 |
| 1043356900 | DR. RICHARD H.D. LIN JR. D.M.D. Individual | Dentist (General Practice) | 205 N MICHIGAN AVE SUITE 2214 CHICAGO, IL 60601 (312) 819-1460 |
| 1235460189 | CORE CENTERS, LLC Organization | Psychologist (Cognitive & Behavioral) | 205 N MICHIGAN AVE STE. 301 CHICAGO, IL 60601 (312) 540-9955 |
| 1619295870 | INSIGHT PSYCHOLOGICAL CENTER, LLC Organization | Social Worker (Clinical) | 205 N MICHIGAN AVE 301 CHICAGO, IL 60601 (312) 540-9955 |
| 1588000715 | KELLEE MILLER D.M.D. Individual | Dentist | 205 N MICHIGAN AVE SUITE 2214 CHICAGO, IL 60601 (312) 819-1460 |
| 1619074101 | HIGHLAND PARK CVS, L.L.C. Organization | Pharmacy | 205 N MICHIGAN AVE CHICAGO, IL 60601 (312) 938-4093 |
| 1720336241 | MS. SHARON ELIZABETH BUTLER LCSW Individual | Social Worker (Clinical) | 205 N MICHIGAN AVE SUITE 1660 CHICAGO, IL 60601 (203) 249-3408 |
| 1811363534 | MICHIGAN AVENUE PSYCHOTHERAPY, LLC Organization | Psychologist (Clinical) | 205 N MICHIGAN AVE SUITE 1660 CHICAGO, IL 60601 (312) 585-7288 |
| 1457727646 | DR. SCOTT HOYE PSY.D. Individual | Psychologist (Clinical) | 205 N MICHIGAN AVE STE 1660 CHICAGO, IL 60601 (312) 912-3978 |
| 1881028603 | KRISTEN TYLER PSYD Individual | Psychologist (Clinical) | 205 N MICHIGAN AVE SUITE 1660 CHICAGO, IL 60601 (508) 658-9276 |
| 1962005041 | SUME MARY CHAKKALAKEL Individual | Pharmacist | 205 N MICHIGAN AVE CHICAGO, IL 60601 (847) 338-6189 |
| 1295331486 | DR. DAVID H KIM PHARMD Individual | Pharmacist | 205 N MICHIGAN AVE CHICAGO, IL 60601 (312) 938-4091 |
| 1144062571 | PHENOMENAL CRADLES DOULA LLC. Organization | Doula | 205 N MICHIGAN AVE CHICAGO, IL 60601 (312) 607-2295 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922157031, enumerated in the NPI registry as an "individual" on January 09, 2007
The provider is located at 205 N Michigan Ave Chicago, Il 60601 and the phone number is (312) 819-0205
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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