Individual provider Active NPI

Brent G Ostoich, OD

  • Optometrist
  • Hoffman Estates, IL
National Provider Identifier
1043335094
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007960 Issued in IL
Practice address
1415 Palatine Rd
Hoffman Estates, IL 60195-1196
Phone
(847) 776-8900
Fax
(847) 776-8922
NPI assigned
Mar 20, 2007
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046007960 IL Primary

Addresses

Primary practice location

1415 Palatine Rd
Hoffman Estates, IL 60195-1196

Mailing address

1415 Palatine Rd
Hoffman Estates, IL 60195-1196
Phone (847) 776-8900

Other practice location 1

7421 N Milwaukee Ave
Niles, IL 60714-3707
Phone (773) 775-0811

Other identifiers 2

IdentifierTypeStateIssuer
046007960MedicaidIL
IL2773OtherILEYEMED PROVIDER NUMBER

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
I20050503000798 IL Practitioner - Optometry 7416935531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sullivan Ostoich Eye Care LTDGroup PAC ID 8527046648, 6 clinicians
Milwaukee Avenue Eye Center, S.C.Group PAC ID 1456489228, 9 clinicians

Practice addresses (Care Compare)

1415 Palatine Rd
Hoffman Estates, IL 60192-1196
Phone (847) 776-8900

7421 N Milwaukee Ave
Niles, IL 60714-3707
Phone (773) 775-0811

Merit-based Incentive Payment System (MIPS)

Final score
89.01 of 100Reported as group
Quality
89.19
Improvement activities
40
Cost
77.77

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as group
Quality
97.68
Improvement activities
40
Cost
79.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Optical, PLLC Optometrist CurrentSince Sep 4, 2025 Accepting new patients
Ostoich Optical LTD Optometrist PastSince Jan 8, 2004 Accepting new patients

Locations

7421 N Milwaukee Ave
Niles, IL 60714
Phone (773) 631-2980

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1043335094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PALATINE RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601951196",
            "telephone_number": "847-776-8900",
            "fax_number": "847-776-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PALATINE RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601951196",
            "telephone_number": "847-776-8900",
            "fax_number": "847-776-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7421 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607143707",
            "country_code": "US",
            "telephone_number": "773-775-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTOICH",
        "first_name": "BRENT",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007960",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER NUMBER",
            "identifier": "IL2773",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.