Individual provider Active NPI

Gabrielle Monica Szwajca, O.D

  • Optometrist
  • Des Plaines, IL
National Provider Identifier
1316396179
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010995 Issued in IL
Practice address
1906 S Tures LN
Des Plaines, IL 60018-2012
Phone
(847) 890-3172
NPI assigned
Jun 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010995 IL Primary

Addresses

Primary practice location

1906 S Tures LN
Des Plaines, IL 60018-2012

Mailing address

1906 S Tures LN
Des Plaines, IL 60018-2012
Phone (847) 890-3172

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
I20160718001291 IL Practitioner - Optometry 1759673445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5371 W Lawrence Ave
Suite 1
Chicago, IL 60630-3672
Phone (312) 525-9621

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010995ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Opt Vision Optometrist CurrentSince May 7, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1316396179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 S TURES LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182012",
            "telephone_number": "847-890-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 S TURES LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182012",
            "telephone_number": "847-890-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZWAJCA",
        "first_name": "GABRIELLE",
        "middle_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.