Active NPI
Victoria Alfafara, O.D.
- Optometrist
- Broadview, IL
National Provider Identifier
1003093857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-007839
- Practice address
- 122 Broadview Village SQ
Broadview, IL 60155-4874 - Phone
- (708) 343-2020
- NPI assigned
- Jan 23, 2008
- Last updated
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-007839 | IL | Primary |
Addresses
Primary practice location
122 Broadview Village SQ
Broadview, IL 60155-4874
Mailing address
122 Broadview Village SQ
Broadview, IL 60155-4874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-007839 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin-Cleetus LTD | Optometrist | Current | Accepting new patients |
| Pearle Vision Inc | Past | Accepting new patients | |
| The Riverside Eye Corp | Past | Accepting new patients |
Locations
17W685 Roosevelt Rd
Oakbrook Terrace, IL 60181
Phone (630) 916-8282
Networks
- IL PPO Downstate
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IL HMO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba pearle vision express
- Durable Medical Equipment & Medical Supplies
- North Riverside, IL
- NPI 1982764759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1003093857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 BROADVIEW VILLAGE SQ",
"city": "BROADVIEW",
"state": "IL",
"postal_code": "601554874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 BROADVIEW VILLAGE SQ",
"city": "BROADVIEW",
"state": "IL",
"postal_code": "601554874",
"telephone_number": "708-343-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFAFARA",
"first_name": "VICTORIA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-007839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.