Individual provider Active NPI

Christopher M Troyka, O.D.

  • Optometrist
  • Bloomingdale, IL
National Provider Identifier
1194878769
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007946 Issued in IL
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

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
046007946MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926000836 IL Practitioner - Optometry 6204921935 Reassigns benefits to 1 organization
Practice locations: Schaumburg, IL

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
Northern Illinois Optical Co., Inc.Group PAC ID 0941381537, 2 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
046-007946ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois Optical Co., Inc. Optometrist CurrentSince Nov 15, 2024 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.

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

Verify at the official NPI Registry.