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GLAUCOMA ASSOCIATES OF ILLINOIS LLC
NPI 1720590375
Ophthalmology in Rockford, IL

Active since November 03, 2017
695 N PERRYVILLE RD STE 3, ROCKFORD, IL 61107(815) 904-6011(815) 904-6171 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2025, Aug 13, 2020, Apr 19, 2019 and 1 more (4 updates tracked since 2017).

About Glaucoma Associates Of Illinois Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLAUCOMA ASSOCIATES OF ILLINOIS LLC (NPI 1720590375) is a healthcare organization registered as an ophthalmology in Rockford, Illinois and active in the NPI registry since November 2017. The organization lists Azizur Rahman, Owner, as its authorized official.

NPPES Registry Identity

NPI1720590375
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameGLAUCOMA ASSOCIATES OF ILLINOIS LLC
Location Address695 N PERRYVILLE RD STE 3Rockford, IL 61107-6225
Mailing Address201 E Chestnut St Apt 9aChicago, IL 60611-7376 · (630) 242-6500 · Fax (815) 399-5543
Phone(815) 904-6011
Fax(815) 904-6171
Organization SubpartNo
Authorized OfficialAzizur RahmanOwner · (312) 543-6865
Enumeration DateNovember 3, 2017
Last NPPES UpdateMarch 20, 20254 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1720590375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 036129423
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
695 N PERRYVILLE RD STE 3, Rockford, IL 61107
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Other Identifiers 2

OtherP01320105Railroad Medicare
Medicaid036129423IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glaucoma Associates Of Illinois Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glaucoma Associates Of Illinois LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Azizur Rahman, MD
Ophthalmology
NPI 1346212693
695 N PERRYVILLE RD
Rockford, IL 61107
(815) 904-6011
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2270981

Glaucoma Associates Of Illinois, LLC · Rockford, IL
Expired · Oct 24, 2026
CLIA Number14D2270981
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorAzizur Rahman
Laboratory Phone(815) 904-6011
Laboratory LocationGlaucoma Associates Of Illinois, LLC695 N Perryville Rd - Ste 3, Rockford, IL 61107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glaucoma Associates Of Illinois LLC's NPI number?

The NPI number for Glaucoma Associates Of Illinois LLC is 1720590375. It was assigned to this organization in the NPPES registry on November 3, 2017.

Where is Glaucoma Associates Of Illinois LLC located?

Glaucoma Associates Of Illinois LLC is located at 695 N Perryville Rd Ste 3, Rockford, IL 61107. The listed phone number is (815) 904-6011.

What is Glaucoma Associates Of Illinois LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Glaucoma Associates Of Illinois LLC enrolled in Medicare?

Yes. Glaucoma Associates Of Illinois LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glaucoma Associates Of Illinois LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Glaucoma Associates Of Illinois LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Glaucoma Associates Of Illinois LLC accept?

Health plans from Quartz list Glaucoma Associates Of Illinois LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glaucoma Associates Of Illinois LLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.