Individual provider Active NPI

Svetlana Kugel, O.D.

  • Optometrist
  • Northbrook, IL
National Provider Identifier
1336208131
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46008856 Issued in IL
Practice address
35 Skokie Blvd
Northbrook, IL 60062-1607
Phone
(847) 714-9009
Fax
(847) 714-9598
NPI assigned
Dec 7, 2006
Last updated
Oct 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46008856 IL Primary

Addresses

Primary practice location

35 Skokie Blvd
Northbrook, IL 60062-1607

Mailing address

1935 Calvin CT
Riverwoods, IL 60015-1636
Phone (847) 293-0807

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
I20090918000478 IL Practitioner - Optometry 8022164888 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Half Day Optical LLCGroup PAC ID 9830450980, 2 clinicians

Practice addresses (Care Compare)

464 W Half Day Rd
Buffalo Grove, IL 60089-6555
Phone (847) 913-5545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46008856ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina J. Levi O D P C Optometrist CurrentSince Sep 9, 2024 Accepting new patients
West Point Optical Group Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Stonebrook Optical LLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Half Day Optical LLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Christina J. Levi O D P C Optometrist PastSince Sep 9, 2024 Accepting new patients
Kugel PC Optometrist Past Accepting new patients

Locations

330 E Main St
Ste 1
Barrington, IL 60010
Phone (847) 381-5313

900 Belvidere Rd
Belvidere, IL 61008
Phone (708) 859-8000

464 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 913-5545

360 S Waukegan Rd
Ste A
Deerfield, IL 60015
Phone (847) 412-0311

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

6641 Grand Ave
Ste D
Gurnee, IL 60031
Phone (847) 856-1200

6150 E State St
Ste 130
Rockford, IL 61108
Phone (708) 859-8000

4880 Euclid Ave
Ste 101
Rolling Meadows, IL 60067
Phone (844) 941-3937

850 E Golf Rd
Schaumburg, IL 60173
Phone (847) 259-3933

246 Hawthorn Village Cmn
Vernon Hills, IL 60061
Phone (847) 680-9160

316 S Hamilton Rd
Gahanna, OH 43230

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, 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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1336208131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 CALVIN CT",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600151636",
            "telephone_number": "847-293-0807",
            "fax_number": "847-293-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SKOKIE BLVD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621607",
            "telephone_number": "847-714-9009",
            "fax_number": "847-714-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGEL",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46008856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.