Magdalena Lucia Bak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010340 Issued in IL

Practice address

1402 Butterfield Rd
Downers Grove, IL 60515-1031

Phone

(630) 424-0613

NPI assigned

Jul 30, 2010

Last updated

Jul 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Level IncGroup PAC ID 9830221977, 2 clinicians

Rosley Eyecare and Associates LLCGroup PAC ID 8426456674, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rosley Eyecare and Associates LLC

  • Optometrist
  • Glenview, IL
  • NPI 1578238978
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Level Inc

  • Corneal and Contact Management Optometrist
  • Chicago, IL
  • NPI 1225240369
  Medicare reassignment Care Compare group NPD
• Ageless Eye Care P.C.

  • Optometrist
  • Chicago, IL
  • NPI 1962637439
  Medicare reassignment NPD

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1184938227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446 N SEMINARY AVE",
            "address_2": "#2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571533",
            "telephone_number": "773-343-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 BUTTERFIELD RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151031",
            "telephone_number": "630-424-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAK",
        "first_name": "MAGDALENA",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan C Badri, M.D.
• Lisa Michelle Bafia, RPH
• Benazir Baig, MD
• Nicole M Bailey, LCPC, ATR, CADC
• Clara Bajzek
• Drew Thomas Baker, OTR/L
• Manisa Baker, APN
• Mary Baker, FNP
• Lara Bakhos, M.D.
• Meenakshi Balakrishnan, D.M.D., M.S.

• Optometrist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.