Shawn Alan Dygola, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008725 Issued in IL

Practice address

1947 Cherry LN
Northbrook, IL 60062-3636

Phone

(847) 564-2020

Fax

(847) 564-2064

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of California - School of Optometry, 1993

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Rosin Optical Co., Inc

  • Optometrist
  • Berwyn, IL
  • NPI 1235343641
  Medicare reassignment Care Compare group NPD
• Rosin Optical Co. Inc.

  • Optometrist
  • Oak Park, IL
  • NPI 1164951034
  NPD
• Rosin Optical Co. Inc.

  • Optometrist
  • Skokie, IL
  • NPI 1750945408
  NPD
• Comprehensive Eyecare Physicians PC

  • Ophthalmology Physician
  • Berwyn, IL
  • NPI 1205959053
  NPD (past)
• Rosin Optical Co., Inc.

  • Optometrist
  • Chicago, IL
  • NPI 1073057634
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1124191846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 KEDVALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761121",
            "telephone_number": "847-673-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 CHERRY LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623636",
            "telephone_number": "847-564-2020",
            "fax_number": "847-564-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYGOLA",
        "first_name": "SHAWN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008725",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dundee Pharmacy Inc
• Marisa Dunn
• Kenny Duong, PHARMD
• Karianne Duray
• Tracy K Durkan, LCPC
• Sharazazi Dyson, PHD
• Lynn Gayle Dzikowicz, RBT-18-67455
• Eating Recovery Center Insight
• Laura Ebach
• Monika Ebert

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.

Verify at the official NPI Registry.