Diana Nicole Masolak

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011864 Issued in IL

Practice address

3241 S Michigan Ave Ste 1
Chicago, IL 60616-3878

Phone

(312) 225-6200

Fax

(312) 949-7616

NPI assigned

May 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Illinois College of Optometry at Chicago, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverpoint Eye Care LLCGroup PAC ID 0749719771, 6 clinicians

Illinois College of OptometryGroup PAC ID 7416851639, 77 clinicians

Old Town Eye Care LLCGroup PAC ID 9830619493, 5 clinicians

Six Corners Eye Care, LLCGroup PAC ID 4587193594, 5 clinicians

Melrose Park Eye Care LLCGroup PAC ID 6709315518, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: diana.masolak.iei@direct.ico.nextgenshare.com

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.

• Illinois College of Optometry

  • Optometrist
  • Chicago, IL
  • NPI 1285612390
  Medicare reassignment Care Compare group NPD
• Melrose Park Eye Care LLC

  • Optometrist
  • Melrose Park, IL
  • NPI 1073334595
  Medicare reassignment Care Compare group NPD
• Old Town Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1861213472
  Medicare reassignment Care Compare group NPD
• Riverpoint Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1194546614
  Medicare reassignment Care Compare group NPD
• Six Corners Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1629899141
  Medicare reassignment Care Compare group NPD
• Ophthalmology Consultants of Illinois Inc

  • Ophthalmology Physician
  • Westmont, IL
  • NPI 1942638549

  Optometrist

  Medicare reassignment NPD
• Ophthalmology Consultants of Illinois, S.C.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1467940254

  Optometrist

  NPD
• Thaddeus, LTD

  • Optometrist
  • Chicago, IL
  • NPI 1831120005
  NPD

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1144077496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163878",
            "telephone_number": "312-225-6200",
            "fax_number": "312-949-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163878",
            "telephone_number": "312-225-6200",
            "fax_number": "312-949-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOLAK",
        "first_name": "DIANA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011864",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Maslennikov
• Jamie Masliah, MD
• Alyssa Masline
• Renata Maslowiec, STA
• Justin Maslowski
• Mason Medical Services LLC
• Abby Mason, RN, BSN
• Allison L Mason, PSYD
• Brooke Mason
• Danielle Mason

• 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 Jul 8, 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.