Organization Active NPI

Steven K. Kajita O.D. P.C.

  • Eyewear Supplier
  • Chicago, IL
National Provider Identifier
1265737431
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
046008064 Issued in IL
Legal business name
STEVEN K. KAJITA O.D. P.C.
Practice address
2525 N Lincoln Ave
Suite D1
Chicago, IL 60614-7783
Phone
(773) 549-1516
Fax
(773) 549-8928
NPI assigned
Jan 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Steven K. KajitaNPI 1558358283
Title
Owner/Optometrist
Phone
(773) 549-1516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 046008064 IL Primary

Addresses

Primary practice location

2525 N Lincoln Ave
Suite D1
Chicago, IL 60614-7783

Mailing address

2525 N Lincoln Ave
Suite D1
Chicago, IL 60614-7783
Phone (773) 549-1516

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL STEVENKKAJITA.EYEFINITYEHR.COM
Other URL STEVENKKAJITA.EYEFINITYEHR.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125001235 IL Part B Supplier - Clinic/Group Practice 9436338209 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1265737431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N LINCOLN AVE",
            "address_2": "SUITE D1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147783",
            "telephone_number": "773-549-1516",
            "fax_number": "773-549-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N LINCOLN AVE",
            "address_2": "SUITE D1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147783",
            "telephone_number": "773-549-1516",
            "fax_number": "773-549-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN K. KAJITA O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "KAJITA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "773-549-1516"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046008064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "STEVENKKAJITA.EYEFINITYEHR.COM",
            "affiliation": "N",
            "endpointDescription": "EYEFINITY EHR",
            "address_1": "2525 N Lincoln Ave",
            "address_2": "Suite D1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606147783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "STEVENKKAJITA.EYEFINITYEHR.COM",
            "affiliation": "N",
            "address_1": "2525 N Lincoln Ave",
            "address_2": "Suite D1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606147783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.