Individual provider Active NPI

Jacqueline Katie Silverstein, O.D

  • Optometrist
  • Northbrook, IL
National Provider Identifier
1083072573
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010963 Issued in IL
Practice address
1917 Cherry LN
Northbrook, IL 60062-3636
Phone
(847) 564-2020
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 346003744 IL
Optometrist 152W00000X 046010963 IL Primary

Addresses

Primary practice location

1917 Cherry LN
Northbrook, IL 60062-3636

Mailing address

1917 Cherry LN
Northbrook, IL 60062-3636
Phone (847) 564-2020

Other practice location 1

1346 Patriot Blvd
Glenview, IL 60026-7777
Phone (847) 729-5050

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
I20160224001498 IL Practitioner - Optometry 1759686025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

1917 Cherry LN
Northbrook, IL 60062-3636
Phone (847) 564-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010963ILMDOptometrist
346003744ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co. Inc. Optometrist CurrentSince Feb 1, 2016 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co., Inc. Optometrist CurrentSince Feb 1, 2016 Accepting new patients
Rosin Optical Co., Inc. Optometrist Past Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

1926 W Irving Park Rd
Chicago, IL 60613
Phone (773) 525-0952

645 N Michigan Ave
Ste 210
Chicago, IL 60611
Phone (312) 787-2020

3934 W North Ave
Chicago, IL 60647
Phone (773) 667-8383

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

1346 Patriot Blvd
Glenview, IL 60026
Phone (847) 729-5050

100 W Calendar Ave
Lagrange Hlds, IL 60525
Phone (708) 354-0500

307 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-3444

1917 Cherry Ln
Northbrook, IL 60062
Phone (847) 564-2020

1100 Lake St
Ste 180
Oak Park, IL 60301
Phone (708) 383-7240

7026 W 159th St
Orland Park, IL 60462
Phone (708) 687-0600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1083072573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 CHERRY LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623636",
            "telephone_number": "847-564-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 CHERRY LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623636",
            "telephone_number": "847-564-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1346 Patriot Blvd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600267777",
            "country_code": "US",
            "telephone_number": "847-729-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERSTEIN",
        "first_name": "JACQUELINE",
        "middle_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "346003744",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.