Organization Active NPI

Marczewski Optometry

  • Optometrist
  • Sycamore, IL
National Provider Identifier
1184828097
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARCZEWSKI OPTOMETRY
Practice address
2570 Dekalb Ave
Sycamore, IL 60178-3109
Phone
(815) 756-2222
Fax
(815) 756-1396
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Kristy Ann Marczewski, O.D.
Title
President
Phone
(815) 756-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IL Primary

Addresses

Primary practice location

2570 Dekalb Ave
Sycamore, IL 60178-3109

Mailing address

2570 Dekalb Ave
Sycamore, IL 60178-3109
Phone (815) 756-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1184828097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783109",
            "telephone_number": "815-756-2222",
            "fax_number": "815-756-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783109",
            "telephone_number": "815-756-2222",
            "fax_number": "815-756-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCZEWSKI OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "MARCZEWSKI",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-756-2222",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.