Active NPI
Tiffany M Andrzejewski, OD
- Corneal and Contact Management Optometrist
- Highland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 046010521
- Practice address
- 806 Central Ave
Suite 300
Highland Park, IL 60035-5613 - Phone
- (847) 432-6010
- Fax
- (847) 432-8241
- NPI assigned
- Jul 14, 2010
- 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 046010521 | IL | Primary |
Addresses
Primary practice location
806 Central Ave
Suite 300
Highland Park, IL 60035-5613
Mailing address
806 Central Ave
Suite 300
Highland Park, IL 60035-5613
Phone (847) 432-6010
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1585 N Barrington Rd
Suite 502
Hoffman Estates, IL 60169-5020
Phone (847) 255-3515
1725 W Harrison St
Suite 928
Chicago, IL 60612-3845
Phone (847) 255-3515
806 Central Ave
Suite 300
Highland Park, IL 60035-5613
Phone (847) 255-3515
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.96 of 100
- Quality
- 91.74
- Improvement activities
- 40
- Cost
- 77.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046010521 | IL | MD | Corneal and Contact Management Optometrist |
Interoperability endpoints
- tandrzejewski@cccltd.intellechartdirect.net
Organizations & group practices 1
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
- Highland Park, IL
- NPI 1750468518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1174836548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 CENTRAL AVE",
"address_2": "SUITE 300",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355613",
"telephone_number": "847-432-6010",
"fax_number": "847-432-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 CENTRAL AVE",
"address_2": "SUITE 300",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355613",
"telephone_number": "847-432-6010",
"fax_number": "847-432-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRZEJEWSKI",
"first_name": "TIFFANY",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IL",
"license": "046010521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.