Malgorzata Kiwacz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010172 Issued in IL

Practice address

19950 Governors Hwy Ste 202
Olympia Fields, IL 60461-3011

Phone

(708) 481-4600

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southland Eye Associates PCGroup PAC ID 4587550223, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• IL PPO Downstate
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• IL HMO C-SNP
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southland Eye Associates PC

  • Optometrist
  • Olympia Fields, IL
  • NPI 1790851806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1013161710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19950 GOVERNORS HWY STE 202",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604613011",
            "telephone_number": "708-481-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19950 GOVERNORS HWY STE 202",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604613011",
            "telephone_number": "708-481-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIWACZ",
        "first_name": "MALGORZATA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryellen Kilkenny, CRNA
• Caroline Kim, DO
• Christine Young Kim, D.O.
• Teresa King
• Kingdom Living Outreach Services, Inc
• Anjelica Kokinias, DO
• Komedicine, LLC
• Shreya Kondle
• Nicholas Daniel Konicek, DO
• Jamie Lynn Koopman, MD

• Optometrist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.
• 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.