Active NPI
Kristina Byzyka
- Optometrist
- Evanston, IL
National Provider Identifier
1124680129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011323
- Practice address
- 2914 Central St
Evanston, IL 60201-1237 - Phone
- (847) 864-4768
- NPI assigned
- Jul 1, 2019
- 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 | 046.011323 | IL | Primary |
Addresses
Primary practice location
2914 Central St
Evanston, IL 60201-1237
Mailing address
2225 Sweet Cider Rd
Fort Wayne, IN 46818-8860
Phone (260) 715-1056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7232 Engle Rd
Fort Wayne, IN 46804-2222
Phone (260) 436-7205
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.94 of 100
- Quality
- 90.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011323 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Consultants of Fort Wayne, P.C. | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- kbyzyka@ophc.emadirect.md
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Fort Wayne, IN
- NPI 1861476210
-
- Ophthalmology Physician
- Fort Wayne, IN
- NPI 1457334054
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1124680129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 SWEET CIDER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468188860",
"telephone_number": "260-715-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2914 CENTRAL ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011237",
"telephone_number": "847-864-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYZYKA",
"first_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.