Michael Anthony Ciszek

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

5222 N Clark St
Chicago, IL 60640-2377

Phone

(773) 275-2538

Fax

(773) 275-0344

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionary Eye Care Professionals PCGroup PAC ID 2860774296, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Visionary Eye Care Professionals PC

  dba Visionary Eye Care Professionals

  • Optometrist
  • Chicago, IL
  • NPI 1790881985
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215048590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402377",
            "telephone_number": "773-275-2538",
            "fax_number": "773-275-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402377",
            "telephone_number": "773-275-2538",
            "fax_number": "773-275-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISZEK",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helene Cissell
• Anthony Daniel Cisternino, D.C.
• Benedict E Ciszek, M.D.
• Jessica Ann Ciszek, M.D.
• Krystyna Ciszek, BCBA
• Emily Ciszewski
• Citadel Behavioral Health Services Inc.
• Tomasz Citak, PT
• Gina Cital
• Citi Adult Worshop

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.