Individual provider Active NPI

Monica B Kurzawa, O.D.

  • Optometrist
  • Hoffman Estates, IL
National Provider Identifier
1235337031
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009954 Issued in IL
Practice address
1220 W Higgins Rd Ste 102
Hoffman Estates, IL 60169-4024
Phone
(847) 755-9393
NPI assigned
Jul 3, 2007
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009954 IL Primary

Addresses

Primary practice location

1220 W Higgins Rd Ste 102
Hoffman Estates, IL 60169-4024

Mailing address

1220 W Higgins Rd Ste 102
Hoffman Estates, IL 60169-4024
Phone (847) 755-9393

Other practice location 1

310 S Greenleaf St
Suite 209
Gurnee, IL 60031-5708
Phone (847) 244-1657

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
I20071015000409 IL Practitioner - Optometry 2961598487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J S Mack MD PCGroup PAC ID 7416962139, 4 clinicians

Practice addresses (Care Compare)

1220 W Higgins Rd
Suite 102
Hoffman Estates, IL 60169-4024
Phone (847) 755-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Chicago, LLC PastSince Jul 30, 2018 Accepting new patients

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, 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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1235337031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W HIGGINS RD STE 102",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694024",
            "telephone_number": "847-755-9393",
            "fax_number": "847-755-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W HIGGINS RD STE 102",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694024",
            "telephone_number": "847-755-9393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Greenleaf St",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600315708",
            "country_code": "US",
            "telephone_number": "847-244-1657",
            "fax_number": "847-244-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURZAWA",
        "first_name": "MONICA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.