Susanna C. Fostiak, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Practice address

1724 Sherman Ave
Evanston, IL 60201-5607

Phone

(847) 864-4441

Fax

(847) 864-5338

NPI assigned

May 20, 2007

Sex

Female

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

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 and National Provider Directory roles.

• Luxottica of America Inc.

  • Point of Service
  • Mason, OH
  • NPI 1831244953

  IL

  Medicare reassignment

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295943454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015607",
            "telephone_number": "847-864-4441",
            "fax_number": "847-864-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 SHERMAN AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015607",
            "telephone_number": "847-864-4441",
            "fax_number": "847-864-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTIAK",
        "first_name": "SUSANNA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• For Eyes Optical of PA
• Sara Forrest, MPT
• Alex Forsyth, MD
• Alberto E Foschi, MD
• Theresa Marie Fosco, APN-CRNA
• Erica Ercel Foulks, LPC
• Foundation for Medical Development in Central Europe Inc
• Katherine Marie Fox-Hall, PA-C
• Steven J Fox, MD
• William Harrison Foydel, RBT-19-97921

• Corneal and Contact Management Optometrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Corneal and Contact Management 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.