Individual provider Active NPI

Alexander Kurtis Pitts, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1316710171
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011801 Issued in IL
Practice address
141 W Jackson Blvd
Chicago, IL 60604-2992
Phone
(312) 427-9555
NPI assigned
Nov 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011801 IL Primary

Addresses

Primary practice location

141 W Jackson Blvd
Chicago, IL 60604-2992

Mailing address

1926 W Irving Park Rd
Chicago, IL 60613-2408
Phone (847) 217-8856

Other practice location 1

1926 W Irving Park Rd
Chicago, IL 60613-2408
Phone (773) 525-0952

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
I20240105004077 IL Practitioner - Optometry 5698126357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians

Practice addresses (Care Compare)

14215 S la Grange Rd
Suite 120
Orland Park, IL 60462-2057
Phone (708) 349-9327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011801ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jan 8, 2024 Accepting new patients
Rosin Optical Co., Inc. CurrentSince Jan 8, 2024 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Nov 11, 2024 Accepting new patients
Wear Eyewear, Inc. Optometrist Past Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

230 W Superior St
Ste 100N
Chicago, IL 60654
Phone (312) 255-1212

1926 W Irving Park Rd
Chicago, IL 60613
Phone (773) 525-0952

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

14215 S La Grange Rd
Ste 120
Orland Park, IL 60462
Phone (708) 349-9327

Organizations & group practices 6

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": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1316710171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132408",
            "telephone_number": "847-217-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042992",
            "telephone_number": "312-427-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1926 W Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132408",
            "country_code": "US",
            "telephone_number": "773-525-0952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTS",
        "first_name": "ALEXANDER",
        "middle_name": "KURTIS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.