| Illinois Eye Institute | |
|
3241 S Michigan Avenue, Chicago, IL 60616-3878 | |
| (312) 225-6200 | |
| (312) 949-7660 |
| Full Name | Illinois Eye Institute |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3241 S Michigan Avenue, 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 |
|---|---|---|---|
| 1285612390 | NPI | - | NPPES |
| 502720 | Other | IL | MEDICARE PTAN |
| CD4768 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 8720518 (Illinois) | Secondary |
| Provider Name | Derek J Dawson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013992411 PECOS PAC ID: 4981592649 Enrollment ID: I20040305000516 |
| Provider Name | Joseph W Mccray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275526717 PECOS PAC ID: 8224026109 Enrollment ID: I20040501000331 |
| Provider Name | Vincent W Brandys |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295726776 PECOS PAC ID: 8921098476 Enrollment ID: I20040518001296 |
| Provider Name | Melissa K Sigler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063405488 PECOS PAC ID: 0547239618 Enrollment ID: I20040927000754 |
| Provider Name | Kara E Crumbliss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831182377 PECOS PAC ID: 0143299081 Enrollment ID: I20040928000875 |
| Provider Name | Anne S Rozwat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346233764 PECOS PAC ID: 7719946508 Enrollment ID: I20041007000387 |
| Provider Name | Mark Greenwald |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720144975 PECOS PAC ID: 5799677530 Enrollment ID: I20041112000737 |
| Provider Name | David J Tresley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508803511 PECOS PAC ID: 7315983301 Enrollment ID: I20050629001112 |
| Provider Name | Andrew O Lewicky |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407893449 PECOS PAC ID: 1658317649 Enrollment ID: I20050629001133 |
| Provider Name | Yi Pang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386637791 PECOS PAC ID: 3971535451 Enrollment ID: I20050906000600 |
| Provider Name | Louise A Sclafani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992861140 PECOS PAC ID: 5294749495 Enrollment ID: I20060126000646 |
| Provider Name | Elyse L Chaglasian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740273234 PECOS PAC ID: 6305851023 Enrollment ID: I20060215000843 |
| Provider Name | Valerie M Kattouf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144213687 PECOS PAC ID: 7012924475 Enrollment ID: I20060310000129 |
| Provider Name | Lisa Thompson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699714790 PECOS PAC ID: 2062421241 Enrollment ID: I20060417000516 |
| Provider Name | Stephen A Beckerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376536888 PECOS PAC ID: 3678584554 Enrollment ID: I20060505000875 |
| Provider Name | Navjit Sanghera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033143078 PECOS PAC ID: 7618980129 Enrollment ID: I20060731000357 |
| Provider Name | Eric Baas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982621801 PECOS PAC ID: 9830102177 Enrollment ID: I20060803000092 |
| Provider Name | Dominick Louis Opitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639105273 PECOS PAC ID: 9931096922 Enrollment ID: I20060809000302 |
| Provider Name | Jennifer Sue Harthan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801818026 PECOS PAC ID: 1557364015 Enrollment ID: I20060823000178 |
| Provider Name | Elizabeth Wyles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013954650 PECOS PAC ID: 7113959412 Enrollment ID: I20060828000057 |
| Provider Name | Kaori Asano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821022625 PECOS PAC ID: 7416951439 Enrollment ID: I20060906000316 |
| Provider Name | Colleen M Govekar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376554857 PECOS PAC ID: 0244234839 Enrollment ID: I20060913000391 |
| Provider Name | Leo K Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609806330 PECOS PAC ID: 3072516004 Enrollment ID: I20070727000763 |
| Provider Name | Megan S Allen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306045083 PECOS PAC ID: 5193826519 Enrollment ID: I20070728000182 |
| Provider Name | Harold M Sy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992730030 PECOS PAC ID: 0840392122 Enrollment ID: I20070730000714 |
| Provider Name | Tanya Halikias |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255539292 PECOS PAC ID: 8527150887 Enrollment ID: I20070816000771 |
| Provider Name | Danielle N Piser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851590590 PECOS PAC ID: 7810080330 Enrollment ID: I20070829000539 |
| Provider Name | Wendy J Haaland Stone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801889340 PECOS PAC ID: 4789777079 Enrollment ID: I20070831000340 |
| Provider Name | Karina V Langle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982802658 PECOS PAC ID: 3870687304 Enrollment ID: I20070914000397 |
| Provider Name | Kelly A Frantz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467445874 PECOS PAC ID: 0547340002 Enrollment ID: I20080109000590 |
| Provider Name | Hillary M Napier Gondek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710147459 PECOS PAC ID: 2264507227 Enrollment ID: I20080826000685 |
| Provider Name | Erica Anne Ittner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104054105 PECOS PAC ID: 2961554423 Enrollment ID: I20090714000281 |
| Provider Name | Snehali A Upadhyay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861620833 PECOS PAC ID: 4486706942 Enrollment ID: I20090714000298 |
| Provider Name | John L Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447243936 PECOS PAC ID: 2567500499 Enrollment ID: I20091112000436 |
| Provider Name | Helen M Gabriel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164415600 PECOS PAC ID: 4587702469 Enrollment ID: I20091113000165 |
| Provider Name | Gary Gunderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699768135 PECOS PAC ID: 0446398077 Enrollment ID: I20091118000671 |
| Provider Name | Christine L Allison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467445908 PECOS PAC ID: 5294876504 Enrollment ID: I20100108000645 |
| Provider Name | Alex R Tan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215921655 PECOS PAC ID: 6103967021 Enrollment ID: I20100113000895 |
| Provider Name | Mary F Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790778108 PECOS PAC ID: 3173659059 Enrollment ID: I20100330000930 |
| Provider Name | Stephanie Messner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215920749 PECOS PAC ID: 2365578259 Enrollment ID: I20100330001020 |
| Provider Name | Andria Pihos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013900422 PECOS PAC ID: 4183750904 Enrollment ID: I20100331000978 |
| Provider Name | Janice Mcmahon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760475297 PECOS PAC ID: 1355477175 Enrollment ID: I20100331000995 |
| Provider Name | Daniel K Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205820644 PECOS PAC ID: 4880721828 Enrollment ID: I20100422000362 |
| Provider Name | Leonard V Messner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629061163 PECOS PAC ID: 1850295023 Enrollment ID: I20100422000383 |
| Provider Name | Bruce Teitelbaum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326031824 PECOS PAC ID: 7911034889 Enrollment ID: I20100423000831 |
| Provider Name | Tracy L Matchinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730172271 PECOS PAC ID: 6901934025 Enrollment ID: I20100511001037 |
| Provider Name | Michael A Chaglasian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841283330 PECOS PAC ID: 0345379178 Enrollment ID: I20100603000447 |
| Provider Name | Janis E Winters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275526758 PECOS PAC ID: 3678602406 Enrollment ID: I20100603000506 |
| Provider Name | Shmaila S Tahir |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093709230 PECOS PAC ID: 9830228683 Enrollment ID: I20100603000677 |
| Provider Name | Grace E Castells |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285620856 PECOS PAC ID: 8426187212 Enrollment ID: I20100604000151 |
| Provider Name | Tricia L Newman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215921671 PECOS PAC ID: 4981734746 Enrollment ID: I20100605000052 |
| Provider Name | Dennis H Ireland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053304402 PECOS PAC ID: 9335279199 Enrollment ID: I20100605000059 |
| Provider Name | Pamela J Boyce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457344947 PECOS PAC ID: 5597895995 Enrollment ID: I20100611000030 |
| Provider Name | Ashley M Speilburg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285946871 PECOS PAC ID: 8527183961 Enrollment ID: I20100909000122 |
| Provider Name | Sandeep Bhatia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003034927 PECOS PAC ID: 7719172162 Enrollment ID: I20101110001114 |
| Provider Name | Heather M Mcleod |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124135983 PECOS PAC ID: 0345347613 Enrollment ID: I20101112000654 |
| Provider Name | Osvaldo I Lopez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346296415 PECOS PAC ID: 6709803133 Enrollment ID: I20110201000590 |
| Provider Name | Geoffrey W Goodfellow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407840838 PECOS PAC ID: 4789869116 Enrollment ID: I20110429000287 |
| Provider Name | Laura M Hayes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386936870 PECOS PAC ID: 4789860859 Enrollment ID: I20110525000727 |
| Provider Name | Raman Bhakhri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437446333 PECOS PAC ID: 6406024025 Enrollment ID: I20110725000792 |
| Provider Name | Katie C Foreman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053521872 PECOS PAC ID: 4486833894 Enrollment ID: I20110823000740 |
| Provider Name | Erik James Mothersbaugh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760744825 PECOS PAC ID: 0244486009 Enrollment ID: I20120809000604 |
| Provider Name | Rahnuma J Saiyed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649532706 PECOS PAC ID: 4587810924 Enrollment ID: I20120817000294 |
| Provider Name | Nicole Marie Kosciuk Brauer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225317696 PECOS PAC ID: 5698912079 Enrollment ID: I20130501000511 |
| Provider Name | Stephanie Rebecca Fromstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811337108 PECOS PAC ID: 1254571235 Enrollment ID: I20130716000493 |
| Provider Name | Katherine Bridget Lynch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427316918 PECOS PAC ID: 2365686979 Enrollment ID: I20130923000276 |
| Provider Name | Lindsay Ann Sicks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487968962 PECOS PAC ID: 4880718253 Enrollment ID: I20131007001416 |
| Provider Name | Christina Evelyn Morettin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265865778 PECOS PAC ID: 6204060858 Enrollment ID: I20131014001830 |
| Provider Name | Lanae B Yong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497985790 PECOS PAC ID: 4880748029 Enrollment ID: I20131216000963 |
| Provider Name | Adrianna Marie Hempelmann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912231820 PECOS PAC ID: 8022156165 Enrollment ID: I20140205000190 |
| Provider Name | Patricia A Salazar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962714006 PECOS PAC ID: 4880832195 Enrollment ID: I20140523002001 |
| Provider Name | Maria T Doelman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871908863 PECOS PAC ID: 5799901740 Enrollment ID: I20140728001260 |
| Provider Name | Marsha K Sorenson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275972119 PECOS PAC ID: 5496980708 Enrollment ID: I20140729000978 |
| Provider Name | Melissa Burton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841678331 PECOS PAC ID: 2668785817 Enrollment ID: I20150717000993 |
| Provider Name | Michelle Man |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336528603 PECOS PAC ID: 8022321702 Enrollment ID: I20150723009515 |
| Provider Name | Rachel Boram Park |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427462431 PECOS PAC ID: 2264747856 Enrollment ID: I20150811004822 |
| Provider Name | Alicia E Kinch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275989642 PECOS PAC ID: 2062702913 Enrollment ID: I20160606000047 |
| Provider Name | Harneet K Randhawa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184070401 PECOS PAC ID: 0840580734 Enrollment ID: I20160606001165 |
| Provider Name | Jaymeni H Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760837256 PECOS PAC ID: 5193015014 Enrollment ID: I20160606002190 |
| Provider Name | Sarah M Rodriguez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497054944 PECOS PAC ID: 4789824582 Enrollment ID: I20160915001367 |
| Provider Name | Mallory Mclaughlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568812279 PECOS PAC ID: 2668740002 Enrollment ID: I20170607003185 |
| Provider Name | Erica J Troyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508399924 PECOS PAC ID: 7113295171 Enrollment ID: I20170615000325 |
| Provider Name | Alaina R Bandstra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841721180 PECOS PAC ID: 7416226956 Enrollment ID: I20170627001519 |
| Provider Name | Brittney Brady |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477050631 PECOS PAC ID: 5698020204 Enrollment ID: I20180622002044 |
| Provider Name | Katherine Elkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043707201 PECOS PAC ID: 0840546750 Enrollment ID: I20180709000436 |
| Provider Name | Daniel Mcintosh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073000964 PECOS PAC ID: 0446506141 Enrollment ID: I20180711001856 |
| Provider Name | Lu Li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528555778 PECOS PAC ID: 6709132301 Enrollment ID: I20180712001572 |
| Provider Name | Laurel Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396242533 PECOS PAC ID: 3779830898 Enrollment ID: I20180720001083 |
| Provider Name | Carlos L Grandela |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457848319 PECOS PAC ID: 4880941913 Enrollment ID: I20180720001446 |
| Provider Name | Kathryn Hohs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902393143 PECOS PAC ID: 4789931619 Enrollment ID: I20180723003026 |
| Provider Name | Nhat Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619464898 PECOS PAC ID: 0446507388 Enrollment ID: I20180723003280 |
| Provider Name | Denise Skiadopoulos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346760725 PECOS PAC ID: 3072887330 Enrollment ID: I20180727002523 |
| Provider Name | Tapuwa Lamoore Chikwinya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063909935 PECOS PAC ID: 7911256870 Enrollment ID: I20180827000455 |
| Provider Name | Darren Eugene Koenig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467416818 PECOS PAC ID: 8426074048 Enrollment ID: I20190202000211 |
| Provider Name | Stephanie Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245721679 PECOS PAC ID: 0840523080 Enrollment ID: I20190603003193 |
| Provider Name | Jessica L Jankiewicz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821656273 PECOS PAC ID: 4183957830 Enrollment ID: I20190611003321 |
| Provider Name | Greta Gregg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134787559 PECOS PAC ID: 5294068987 Enrollment ID: I20190612001406 |
| Provider Name | Madison R Goodfellow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437717832 PECOS PAC ID: 3476886177 Enrollment ID: I20190612001738 |
| Provider Name | Thanhan Andy Nguyen-tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467010827 PECOS PAC ID: 7810221967 Enrollment ID: I20190625000607 |
| Provider Name | Dena Colantino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437717899 PECOS PAC ID: 0042544009 Enrollment ID: I20190625001337 |
| Provider Name | Steve T Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700444155 PECOS PAC ID: 2365776366 Enrollment ID: I20190625002892 |
| Provider Name | Christopher T Pereira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497313852 PECOS PAC ID: 4789918780 Enrollment ID: I20190625003127 |
| Provider Name | Sarah L Rogers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548828296 PECOS PAC ID: 9335474543 Enrollment ID: I20190710002905 |
| Provider Name | Elizabeth Y Zhu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760040356 PECOS PAC ID: 0244565315 Enrollment ID: I20190711001051 |
| Provider Name | Maria Alessandra Roa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558982033 PECOS PAC ID: 9133540933 Enrollment ID: I20200603001574 |
| Provider Name | Christina Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407478969 PECOS PAC ID: 8123449931 Enrollment ID: I20200603002045 |
| Provider Name | Nora C Kuby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578184164 PECOS PAC ID: 8820419658 Enrollment ID: I20200603003277 |
| Provider Name | Pedram Pourhosseini |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447871900 PECOS PAC ID: 2466873294 Enrollment ID: I20200603003290 |
| Provider Name | Arnoldo Trevino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063034551 PECOS PAC ID: 6800217589 Enrollment ID: I20200604002206 |
| Provider Name | Katie L Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528680097 PECOS PAC ID: 5395167399 Enrollment ID: I20200620000000 |
| Provider Name | Kelly A. Cohen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447871959 PECOS PAC ID: 1951723881 Enrollment ID: I20200623002790 |
| Provider Name | Chelsea Bradley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669026795 PECOS PAC ID: 8022446392 Enrollment ID: I20200717000759 |
| Provider Name | Kyle D Martin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760004071 PECOS PAC ID: 9335563253 Enrollment ID: I20200723002580 |
| Provider Name | Negar Sohbati |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700408259 PECOS PAC ID: 5597180174 Enrollment ID: I20200729002726 |
| Provider Name | Megan Byer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669093225 PECOS PAC ID: 2163848466 Enrollment ID: I20200818000718 |
| Provider Name | Eric Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043591365 PECOS PAC ID: 4486805892 Enrollment ID: I20210421000786 |
| Provider Name | Alyssa Lancaster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912572397 PECOS PAC ID: 7416359773 Enrollment ID: I20210708001849 |
| Provider Name | Olivia Nichols |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245805639 PECOS PAC ID: 0547662843 Enrollment ID: I20210708003186 |
| Provider Name | Randi-jo Francis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740855105 PECOS PAC ID: 8325440621 Enrollment ID: I20210708003313 |
| Provider Name | William Jorgen Skoog |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659948081 PECOS PAC ID: 8628470895 Enrollment ID: I20210709002015 |
| Provider Name | Melissa Caceres |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487221909 PECOS PAC ID: 0840692026 Enrollment ID: I20210709002616 |
| Provider Name | Thomas P Collins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083289573 PECOS PAC ID: 4880097724 Enrollment ID: I20210729001260 |
| Provider Name | Kelsey Trast |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982271409 PECOS PAC ID: 6709289671 Enrollment ID: I20210729002525 |
| Provider Name | Janette Perez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780251272 PECOS PAC ID: 3072916972 Enrollment ID: I20210729003377 |
| Provider Name | Nitasha Merchant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427625847 PECOS PAC ID: 5395141360 Enrollment ID: I20210831002449 |
| Provider Name | Charles Maxwell Medert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487195608 PECOS PAC ID: 9436558657 Enrollment ID: I20220426000689 |
| Provider Name | German Aparicio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114661386 PECOS PAC ID: 2264814953 Enrollment ID: I20220727002290 |
| Provider Name | Sanjana Saksena |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205570397 PECOS PAC ID: 4587046255 Enrollment ID: I20220728001297 |
| Provider Name | Annie Liang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144964818 PECOS PAC ID: 1951783547 Enrollment ID: I20220728002668 |
| Provider Name | Payton M Holden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710621842 PECOS PAC ID: 9739561010 Enrollment ID: I20220803000812 |
| Provider Name | Macy E Koepke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013652320 PECOS PAC ID: 8325420367 Enrollment ID: I20220808000809 |
| Provider Name | Natalie P Polk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649914565 PECOS PAC ID: 6305228362 Enrollment ID: I20220808001296 |
| Provider Name | Stephanie A Koss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528702438 PECOS PAC ID: 1052793015 Enrollment ID: I20220808001620 |
| Provider Name | Frederick James Neher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295470763 PECOS PAC ID: 1153703129 Enrollment ID: I20220808002063 |
| Provider Name | Himanee Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558006056 PECOS PAC ID: 1557743531 Enrollment ID: I20220808002339 |
| Provider Name | Courtney Lynn Luce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326782244 PECOS PAC ID: 3678955663 Enrollment ID: I20220808002729 |
| Provider Name | Catherine Kerr-niermann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619303070 PECOS PAC ID: 4789813171 Enrollment ID: I20220913003590 |
| Provider Name | Sarah Marie Devries |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639857097 PECOS PAC ID: 4082076088 Enrollment ID: I20230808001322 |
| Provider Name | Jessica Garcia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467130898 PECOS PAC ID: 1052773165 Enrollment ID: I20230821003070 |
| Provider Name | Samantha Dodda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104443720 PECOS PAC ID: 1052734464 Enrollment ID: I20230831000626 |
| Provider Name | Marin Emma Nagelberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184302556 PECOS PAC ID: 2466815980 Enrollment ID: I20230831002360 |
| Provider Name | Lucas Russell Rockne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861184830 PECOS PAC ID: 5092178434 Enrollment ID: I20230831003440 |
| Provider Name | Moheera Athar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912685363 PECOS PAC ID: 0941663322 Enrollment ID: I20230901000309 |
| Provider Name | Aubrey D Breithaupt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649687534 PECOS PAC ID: 1456579119 Enrollment ID: I20230901001117 |
| Provider Name | Wateen Hussein Alami |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265110654 PECOS PAC ID: 5991168288 Enrollment ID: I20230905001840 |
| Provider Name | Alexander Howard Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831881895 PECOS PAC ID: 8527421817 Enrollment ID: I20230905001868 |
| Provider Name | Michaella Marie Ford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134807506 PECOS PAC ID: 4183087364 Enrollment ID: I20230906001527 |
| Provider Name | Steven Sargent |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750069134 PECOS PAC ID: 2567826753 Enrollment ID: I20230906002321 |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Eye Institute 3241 S Michigan Avenue, Chicago, IL 60616-3878 Ph: (312) 225-6200 | Illinois Eye Institute 3241 S Michigan Avenue, Chicago, IL 60616-3878 Ph: (312) 225-6200 |
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 |