| Big City Optical Llc | |
|
1350 W 18th St, Chicago, IL 60608-3148 | |
| (815) 483-9504 | |
| Not Available |
| Full Name | Big City Optical Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1350 W 18th St, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568900140 | NPI | - | NPPES |
| 046009691 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009691 (Illinois) | Primary |
| Provider Name | Rasa Tamulavichus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427148725 PECOS PAC ID: 1951361617 Enrollment ID: I20041016000203 |
| Provider Name | Alla Malishkevich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912067661 PECOS PAC ID: 2769531664 Enrollment ID: I20090526000337 |
| Provider Name | George Constantinopoulos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376689794 PECOS PAC ID: 4284043266 Enrollment ID: I20220208000857 |
| Provider Name | Jason Weubbe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467171173 PECOS PAC ID: 2062897879 Enrollment ID: I20220915000116 |
| Provider Name | Margaret Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801566880 PECOS PAC ID: 7315304466 Enrollment ID: I20230605001215 |
| Provider Name | Tiffany Portillo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568198398 PECOS PAC ID: 0042657728 Enrollment ID: I20240318003350 |
| Provider Name | Jodi Isaac |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902661879 PECOS PAC ID: 4486093960 Enrollment ID: I20240417000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Big City Optical Llc Po Box 16974, Chicago, IL 60616-0980 Ph: (815) 483-9504 | Big City Optical Llc 1350 W 18th St, Chicago, IL 60608-3148 Ph: (815) 483-9504 |
Primary Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320 | |
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199 | |
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175 | |
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309 | |
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024 | |
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176 | |
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774 |