Active NPI
Nancy A Wojcik, O.D.
- Optometrist
- Arlington Heights, IL
National Provider Identifier
1063561058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 450 E Rand Rd
Arlington Heights, IL 60004-3101 - Phone
- (847) 398-3303
- Fax
- (847) 398-4780
- NPI assigned
- Jan 9, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
450 E Rand Rd
Arlington Heights, IL 60004-3101
Mailing address
211 North TRL
Hawthorn Woods, IL 60047-7718
Phone (847) 726-1218
Other names 1
- Nancy A Elmore
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 |
|---|---|---|---|
| 046-007824 | IL | MD | Optometrist |
Organizations & group practices 1
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": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063561058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 NORTH TRL",
"city": "HAWTHORN WOODS",
"state": "IL",
"postal_code": "600477718",
"telephone_number": "847-726-1218",
"fax_number": "847-398-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E RAND RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600043101",
"telephone_number": "847-398-3303",
"fax_number": "847-398-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJCIK",
"first_name": "NANCY",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "ELMORE",
"middle_name": "A",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.