Individual provider Active NPI

Grace S Hashisaka, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1336170513
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.008160 Issued in IL
Practice address
1730 W Fullerton Ave
Chicago, IL 60614-1900
Phone
(773) 327-3000
Fax
(773) 327-3015
NPI assigned
Jul 5, 2006
Last updated
Oct 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.008160 IL Primary

Addresses

Primary practice location

1730 W Fullerton Ave
Chicago, IL 60614-1900

Mailing address

1730 W Fullerton Ave
Chicago, IL 60614-1900
Phone (773) 327-3000

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
I20080114000104 IL Practitioner - Optometry 9032290382 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverpoint Eye Care LLCGroup PAC ID 0749719771, 6 clinicians
Old Town Eye Care LLCGroup PAC ID 9830619493, 5 clinicians
Six Corners Eye Care, LLCGroup PAC ID 4587193594, 5 clinicians
Melrose Park Eye Care LLCGroup PAC ID 6709315518, 7 clinicians

Practice addresses (Care Compare)

1730 W Fullerton Ave
Chicago, IL 60614-1900
Phone (773) 327-3000

400 W Division St
Chicago, IL 60610-2981
Phone (312) 274-1212

4017 N Milwaukee Ave
Chicago, IL 60641-1834
Phone (773) 545-2660

904 W N Ave
Melrose Park, IL 60160-1520
Phone (708) 343-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.008160ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Melrose Park Eye Care LLC Optometrist CurrentSince Jun 8, 2025 Accepting new patients
Riverpoint Eye Care LLC Optometrist CurrentSince Dec 7, 2024 Accepting new patients
Vidulich, Blase & Valentino, P.C. Optometrist CurrentSince Jul 15, 2014 Accepting new patients
Six Corners Eye Care LLC Optometrist CurrentSince Jun 8, 2025 Accepting new patients
Weltzer-Maite, P.C. Optometrist CurrentSince Jul 15, 2014 Accepting new patients
Thaddeus, LTD Optometrist CurrentSince Mar 1, 2016 Accepting new patients
Wilma, LTD Optometrist CurrentSince Jul 20, 2014 Accepting new patients
Old Town Eye Care LLC Optometrist CurrentSince Dec 29, 2024 Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients

Locations

1730 W Fullerton Ave
Chicago, IL 60614
Phone (773) 327-3000

400 W Division St
Chicago, IL 60610
Phone (312) 274-1212

4017 N Milwaukee Ave
Chicago, IL 60641
Phone (773) 545-2660

904 W North Ave
Melrose Park, IL 60160
Phone (708) 343-6767

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1336170513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-3000",
            "fax_number": "773-327-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-3000",
            "fax_number": "773-327-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHISAKA",
        "first_name": "GRACE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.008160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.