NPIMap

Organization Active NPI

Retina Vitreous Associates, PC

  • Ophthalmology Physician
  • Oak Lawn, IL
National Provider Identifier
1194711655
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA VITREOUS ASSOCIATES, PC
Practice address
4930 W 95TH St
Oak Lawn, IL 60453-2504
Phone
(708) 424-8855
NPI assigned
Sep 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Dr. Christopher D Pelzek, M.D.NPI 1669475281
Title
President
Phone
(708) 424-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X IL Primary

Addresses

Primary practice location

4930 W 95TH St
Oak Lawn, IL 60453-2504

Mailing address

4930 W 95TH St
Oak Lawn, IL 60453-2504
Phone (708) 424-8855

Other practice location 1

15255 S 94th Ave Ste 202E
Orland Park, IL 60462-3810
Phone (708) 364-1700

Other practice location 2

963 N 129th Infantry Dr Ste 130
Joliet, IL 60435-3103
Phone (815) 744-1812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090415000216 IL Part B Supplier - Clinic/Group Practice 5294882957 Receives reassigned benefits from 6 practitioners
Practice locations: Evergreen Park, IL; Tinley Park, IL; Orland Park, IL; Oak Lawn, IL; New Lenox, IL; Joliet, IL

National Provider Directory

National Provider Directory

Locations

Dept 4629
Carol Stream, IL 60122

963 N 129th Infantry Dr
Ste 130N
Joliet, IL 60435
Phone (815) 744-1812

4930 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-8855

15255 S 94th Ave
Ste 202
Orland Park, IL 60462

15255 S 94th Ave
Ste 202E
Orland Park, IL 60462
Phone (708) 364-1700

7440 W College Dr
#3
Palos Heights, IL 60463
Phone (708) 448-3000

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1194711655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "708-424-8855",
            "fax_number": "708-424-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "708-424-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15255 S 94th Ave Ste 202E",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623810",
            "country_code": "US",
            "telephone_number": "708-364-1700",
            "fax_number": "708-364-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "963 N 129th Infantry Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604353103",
            "country_code": "US",
            "telephone_number": "815-744-1812",
            "fax_number": "815-744-1589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA VITREOUS ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "PELZEK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-424-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.