Active NPI
Michael J Wojciak, O.D.
- Optometrist
- Schaumburg, IL
National Provider Identifier
1295877132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.007953
- Practice address
- 3 Woodfield Mall
Jcpenney Optical
Schaumburg, IL 60173-5012 - Phone
- (847) 240-5655
- Fax
- (847) 240-5156
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.007953 | IL | Primary |
Addresses
Primary practice location
3 Woodfield Mall
Jcpenney Optical
Schaumburg, IL 60173-5012
Mailing address
7513 Baimbridge Dr
Downers Grove, IL 60516-4453
Phone (630) 241-1937
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080902000102 | IL | Practitioner - Optometry | 4981770765 | Practice locations: Rolling Meadows, 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
Practice addresses (Care Compare)
1301 Meijer Dr
Rolling Meadows, IL 60008-4205
Phone (847) 593-2406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.007953 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usv Optical Inc | Past | Accepting new patients | |
| US Vision Optical Inc | Past | Accepting new patients | |
| Usv Optical Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Eyewear Supplier
- Schaumburg, IL
- NPI 1144241290
-
- Eyewear Supplier
- Lombard, IL
- NPI 1588685564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295877132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7513 BAIMBRIDGE DR",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605164453",
"telephone_number": "630-241-1937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WOODFIELD MALL",
"address_2": "JCPENNEY OPTICAL",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735012",
"telephone_number": "847-240-5655",
"fax_number": "847-240-5156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJCIAK",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.007953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- 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.