| Vision Boutique | |
|
14 S Peoria St, Chicago, IL 60607-2628 | |
| (224) 730-0650 | |
| (312) 432-0586 |
| Full Name | Vision Boutique |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 14 S Peoria 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 |
|---|---|---|---|
| 1588993778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009186 (Illinois) | Primary |
| Provider Name | Neil Boldus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992823462 PECOS PAC ID: 9537255922 Enrollment ID: I20071017000102 |
| Provider Name | Helen Tzanetakos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083866354 PECOS PAC ID: 2264695527 Enrollment ID: I20120523000678 |
| Provider Name | Malgorzata Kiwacz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013161710 PECOS PAC ID: 3971727033 Enrollment ID: I20140610002007 |
| Provider Name | Diana Li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164900700 PECOS PAC ID: 5597015602 Enrollment ID: I20180911003892 |
| Provider Name | Aleksandra Susol |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194393645 PECOS PAC ID: 9638565948 Enrollment ID: I20220413000235 |
| Provider Name | Katarina Ivanovic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861272916 PECOS PAC ID: 6002267499 Enrollment ID: I20240122003757 |
| Provider Name | Namrata Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366824138 PECOS PAC ID: 6608212220 Enrollment ID: I20240306000707 |
| Provider Name | Amanda Lay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780467225 PECOS PAC ID: 3870931132 Enrollment ID: I20240404003812 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Boutique 14 S Peoria St, Chicago, IL 60607-2628 Ph: (224) 730-0650 | Vision Boutique 14 S Peoria St, Chicago, IL 60607-2628 Ph: (224) 730-0650 |
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 |