Individual provider Active NPI

Harold S Schwartz, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1194794222
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036055220 Issued in IL
Practice address
6601 N Avondale Ave
Suite 102
Chicago, IL 60631-1572
Phone
(773) 792-1011
Fax
(773) 889-0224
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036055220 IL Primary

Addresses

Primary practice location

6601 N Avondale Ave
Suite 102
Chicago, IL 60631-1572

Mailing address

6601 N Avondale Ave
Suite 102
Chicago, IL 60631-1572
Phone (773) 792-1011

Other identifiers 2

IdentifierTypeStateIssuer
21622244OtherILBCBS
036055220MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036055220ILMDOphthalmology Physician
030036CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Eye Associates SC CurrentSince Dec 7, 1998 Accepting new patients

Locations

3115 N Harlem Ave
Ste 201
Chicago, IL 60634
Phone (773) 792-1011

6601 N Avondale Ave
Ste 102
Chicago, IL 60631
Phone (773) 792-1011

3115 N Harlem Ave
Chicago, IL 60634
Phone (773) 745-1700

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1194794222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N AVONDALE AVE",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311572",
            "telephone_number": "773-792-1011",
            "fax_number": "773-889-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N AVONDALE AVE",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311572",
            "telephone_number": "773-792-1011",
            "fax_number": "773-889-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "HAROLD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036055220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21622244",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055220",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.