Active NPI
Christopher M Troyka, O.D.
- Optometrist
- Bloomingdale, IL
National Provider Identifier
1194878769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-007946
- Practice address
- 5 Stratford Square Mall
Optical Dept.
Bloomingdale, IL 60108-2224 - Phone
- (630) 529-7491
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-007946 | IL | Primary |
Addresses
Primary practice location
5 Stratford Square Mall
Optical Dept.
Bloomingdale, IL 60108-2224
Mailing address
PO Box 6452
Bloomingdale, IL 60108-6452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046007946 | Medicaid | IL |
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, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 N Madison St
Rockford, IL 61107-3949
Phone (815) 963-3454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-007946 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Illinois Optical Co., Inc. | Optometrist | Current | Accepting new patients |
| Troyka Vision Care LTD | Optometrist | Past | Accepting new patients |
Locations
121 N Madison St
Rockford, IL 61107
Phone (815) 963-3454
Organizations & group practices 2
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.
-
- Optometrist
- Bloomingdale, IL
- NPI 1316111438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1194878769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6452",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601086452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 STRATFORD SQUARE MALL",
"address_2": "OPTICAL DEPT.",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082224",
"telephone_number": "630-529-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROYKA",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-007946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046007946",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.