Individual provider Active NPI

Michael Gerard Zost, O.D.

  • Optometrist
  • Northbrook, IL
National Provider Identifier
1023060969
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IL0467979 Issued in IL
Practice address
666 Dundee Rd Ste 1802
Northbrook, IL 60062-2739
Phone
(847) 716-2340
Fax
(847) 716-2341
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL0467979 IL Primary

Addresses

Primary practice location

666 Dundee Rd Ste 1802
Northbrook, IL 60062-2739

Mailing address

666 Dundee Rd Ste 1802
Northbrook, IL 60062-2739
Phone (847) 716-2340

Other identifiers 1

IdentifierTypeStateIssuer
0718540001OtherILDMERC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000331 IL Practitioner - Optometry 6507873502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Rehabilitation Associates PCGroup PAC ID 0749465029, 2 clinicians
Medical Services RicGroup PAC ID 4880598978, 92 clinicians

Practice addresses (Care Compare)

191 Waukegan Rd
Suite 115
Northfield, IL 60093-2743
Phone (847) 716-2340

355 E Erie St
Chicago, IL 60611-3167
Phone (312) 238-1000

Merit-based Incentive Payment System (MIPS)

Final score
84.56 of 100Reported as group
Quality
75.1
Promoting interoperability
100
Improvement activities
40
Cost
48.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IL0467979ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Rehabilitation Associates PC Optometrist CurrentSince Jan 23, 2011 Accepting new patients
Medical Services Ric CurrentSince Jan 1, 2018 Accepting new patients

Locations

50 S Fairbank St
Addison, IL 60101
Phone (630) 543-2440

2757 Solution Ctr
Chicago, IL 60677

666 Dundee Rd
Ste 1802
Northbrook, IL 60062
Phone (847) 716-2340

191 Waukegan Rd
Ste 115
Northfield, IL 60093
Phone (847) 201-4278

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1023060969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1802",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622739",
            "telephone_number": "847-716-2340",
            "fax_number": "847-716-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1802",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622739",
            "telephone_number": "847-716-2340",
            "fax_number": "847-716-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOST",
        "first_name": "MICHAEL",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "IL0467979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0718540001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.