Active NPI
Lidia Warciak
- Optometrist
- Wilmette, IL
National Provider Identifier
1093440968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011659
- Practice address
- 1125 Greenleaf Ave
Wilmette, IL 60091-2708 - Phone
- (224) 408-2302
- NPI assigned
- Jul 23, 2022
- 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 | 046011659 | IL | Primary |
Addresses
Primary practice location
1125 Greenleaf Ave
Wilmette, IL 60091-2708
Mailing address
85 Weybridge LN
North Barrington, IL 60010-6907
Phone (608) 732-8894
Other names 1
- Dr. Lidia Wawrzak
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 Greenleaf Ave
Wilmette, IL 60091-2708
Phone (224) 408-2302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011659 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmette Eye Care LLC | Optometrist | Current | Accepting new patients |
Locations
1125 Greenleaf Ave
Wilmette, IL 60091
Phone (224) 408-2302
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.
-
- Optometrist
- Wilmette, IL
- NPI 1215433818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1093440968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 WEYBRIDGE LN",
"city": "NORTH BARRINGTON",
"state": "IL",
"postal_code": "600106907",
"telephone_number": "608-732-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 GREENLEAF AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912708",
"telephone_number": "224-408-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARCIAK",
"first_name": "LIDIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-23",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIDIA",
"last_name": "WAWRZAK",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.