Mark L. Skowron PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007453 Issued in IL

Legal business name

MARK L. SKOWRON PC

Practice address

370 N York St
Elmhurst, IL 60126-2320

Phone

(630) 834-6244

NPI assigned

Mar 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Leonard Skowron, ODNPI 1780685552

Title

President

Phone

(630) 834-6244

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Skowron Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark L Skowron, OD

  • Optometrist
  • Elmhurst, IL
  • NPI 1780685552
  Medicare reassignment Care Compare group NPD Authorized official
• Anastasia Boksa, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1336568278
  Medicare reassignment Care Compare group NPD
• Michelle Nicole Manzella, OD

  • Optometrist
  • Elmhurst, IL
  • NPI 1821613266
  Medicare reassignment Care Compare group NPD
• Zory Stoev

  • Optometrist
  • Chicago, IL
  • NPI 1841645264
  Medicare reassignment Care Compare group NPD
• Aleksandra Susol, OD

  • Optometrist
  • Chicago, IL
  • NPI 1194393645
  Medicare reassignment Care Compare group NPD
• Jacqueline Cozzone

  • Optometrist
  • Rockford, IL
  • NPI 1942789177
  Medicare reassignment NPD
• Kerry M John, OD

  • Optometrist
  • La Grange, IL
  • NPI 1891788212
  Medicare reassignment NPD
• Neelam Patadia

  • Optometrist
  • Chicago, IL
  • NPI 1609135383
  Medicare reassignment NPD
• Michael Steven Russell, O.D.

  • Optometrist
  • Naperville, IL
  • NPI 1619351715
  Medicare reassignment NPD
• Lavender Summer Streiff, OD

  • Optometrist
  • Marshfield, WI
  • NPI 1467432336

  IL

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1003940602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262320",
            "telephone_number": "630-834-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262320",
            "telephone_number": "630-834-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L. SKOWRON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "SKOWRON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-834-6244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1780685552",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DN4795",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skowron Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Nicole Manzella, OD
• Lisa Marie Marcus, LCSW
• Lori Ann Marek-McKillop, M.S.,L.C.P.C
• Michelle Mariage
• Marianjoy at Park Place Christian Community
• Ilyssa Hoffman Marks, LCSW
• Maureen Elizabeth Marquez, APN-CNP, FNP
• Michaela Marquez, MS, RDN, LDN
• Robert J Marselle, MD
• Viktoriya Marshall, DC

• Optometrist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.