Alyssa Michelle Petko, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.012008 Issued in IL

Practice address

111 S Franklin St
Chicago, IL 60606-4628

Phone

(312) 265-0444

Fax

(312) 929-4213

NPI assigned

Jul 23, 2025

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Franklin Eye Care, LLC

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1164952362
  Medicare reassignment NPD
• Perez Eye Care, Inc

  • Optometrist
  • Chicago, IL
  • NPI 1336184217
  Medicare reassignment NPD
• Franklin Eye Care, LLC

  • Optometrist
  • Lake Forest, IL
  • NPI 1598453599
  NPD

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1336021187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N WABASH AVE APT 1505",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024743",
            "telephone_number": "847-275-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FRANKLIN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064628",
            "telephone_number": "312-265-0444",
            "fax_number": "312-929-4213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Washington St Ste 820",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021700",
            "country_code": "US",
            "telephone_number": "312-332-0921",
            "fax_number": "312-332-0963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 S Waukegan Rd Ste C1",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600452665",
            "country_code": "US",
            "telephone_number": "224-706-6835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETKO",
        "first_name": "ALYSSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.012008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petham Muthuswamy, M.D., SC
• Paige Michelle Petite
• Robert Petite, LMFT-IL
• Naomi Petithomme, COTA
• Melissa S Petito
• Jacqueline Petkovic, RN
• Grace Petr, PA-C
• Leah Kristina Petrak, PA-C
• Stephen Petrak, D.C
• Alexandra Petrakos, MD

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.

Verify at the official NPI Registry.