Angelina Marie Popovic, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

46009999 Issued in IL

Practice address

1101 S Canal St Ste 108
Chicago, IL 60607-4940

Phone

(312) 588-0159

Fax

(312) 588-0963

NPI assigned

Jul 3, 2007

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoptikal LLC

  • Eyewear Supplier
  • Dixon, IL
  • NPI 1699331082

  Optometrist

  Medicare reassignment NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Crystal Lake, IL
  • NPI 1114567443

  Optometrist

  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1063610822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S CANAL ST",
            "address_2": "STE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074901",
            "telephone_number": "312-588-0159",
            "fax_number": "312-588-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CANAL ST STE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074940",
            "telephone_number": "312-588-0159",
            "fax_number": "312-588-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVIC",
        "first_name": "ANGELINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Poplis, LCSW
• Graciela Popoca
• Andrew Michael Popoff, MD
• Evguenia Sergeevna Popova, OTR/L
• Mitchell Nicholas Popovetsky, M.D.
• Milan Popovic, PHARMD
• Milica Popovic, LCSW, CADC
• Judith Marie Popovich, FNP
• Kyle Jeanne Popovich, M.D.
• Erica Yael Popovsky, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.

Verify at the official NPI Registry.