Dr Kalisker and Associates Incorporated

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008511 Issued in IL

Legal business name

DR KALISKER AND ASSOCIATES INCORPORATED

Practice address

2822 W Devon Ave
Chicago, IL 60659-1502

Phone

(773) 338-1290

Fax

(847) 918-1132

NPI assigned

Dec 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Svetlana Kalisker, O.DNPI 1497831143

Title

President

Phone

(847) 668-0181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Svetlana Kalisker, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1497831143
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1114461142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 COVENTRY CIR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611208",
            "telephone_number": "847-668-0181",
            "fax_number": "847-918-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591502",
            "telephone_number": "773-338-1290",
            "fax_number": "847-918-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KALISKER AND ASSOCIATES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "KALISKER",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-668-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.