Individual provider Active NPI

Lori Beth Zintak, O.D

  • Optometrist
  • Hickory Hills, IL
National Provider Identifier
1225477870
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010673 Issued in IL
Practice address
9400 S Roberts Rd
Hickory Hills, IL 60457-2326
Phone
(708) 598-5550
NPI assigned
Jun 17, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010673 IL Primary

Addresses

Primary practice location

9400 S Roberts Rd
Hickory Hills, IL 60457-2326

Mailing address

9400 S Roberts Rd
Hickory Hills, IL 60457-2326

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
I20161025002037 IL Practitioner - Optometry 0941588099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicholas Rutkowski OD and Associates LLCGroup PAC ID 0345580056, 3 clinicians

Practice addresses (Care Compare)

870 N Convent St
Bourbonnais, IL 60914-1300
Phone (815) 217-9266

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Nicholas Rutkowski, O.D. & Associates LLC Optometrist CurrentSince Oct 11, 2023 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Sep 18, 2018 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Sep 18, 2018 Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

870 N Convent St
Bourbonnais, IL 60914
Phone (815) 217-9266

19975 S Lagrange Rd
Frankfort, IL 60423
Phone (815) 217-9266

100 W Calendar Ave
Lagrange Hlds, IL 60525
Phone (708) 354-0500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1225477870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572326",
            "telephone_number": "708-598-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINTAK",
        "first_name": "LORI",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

Verify at the official NPI Registry.