Active NPI
Dorota Czaicka, O.D.
- Optometrist
- Glenview, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009430
- Practice address
- 2305 Willow Rd
Glenview, IL 60025-7637 - Phone
- (847) 832-9690
- Fax
- (847) 832-9691
- NPI assigned
- Jan 11, 2007
- Last updated
- Oct 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 046009430 | IL | Primary |
Addresses
Primary practice location
2305 Willow Rd
Glenview, IL 60025-7637
Mailing address
2305 Willow Rd
Glenview, IL 60025-7637
Phone (847) 832-9690
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046009430 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks Inc | Past | Accepting new patients | |
| Ziva Optical II, LTD. | Optometrist | Past | Accepting new patients |
| Ziva Optical, LTD. | Optometrist | Past | Accepting new patients |
Locations
239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286
8506 W Golf Rd
Niles, IL 60714
Phone (847) 297-2286
2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133
175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1164572244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 WILLOW RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600257637",
"telephone_number": "847-832-9690",
"fax_number": "847-832-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 WILLOW RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600257637",
"telephone_number": "847-832-9690",
"fax_number": "847-832-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZAICKA",
"first_name": "DOROTA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.