Individual provider Active NPI

Anastasia Boksa, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1336568278
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010770 Issued in IL
Practice address
141 W Jackson Blvd
Chicago, IL 60604-2992
Phone
(312) 427-9555
NPI assigned
Apr 8, 2014
Last updated
Nov 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010770 IL Primary

Addresses

Primary practice location

141 W Jackson Blvd
Chicago, IL 60604-2992

Mailing address

30 E Huron St
Apt 3605
Chicago, IL 60611-2766
Phone (847) 714-7079

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
I20150310002409 IL Practitioner - Optometry 7012233000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark L Skowron PCGroup PAC ID 4082793047, 5 clinicians

Practice addresses (Care Compare)

370 N York Rd
Elmhurst, IL 60126-2320

370 N York St
Elmhurst, IL 60126-2320
Phone (630) 834-6244

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark L. Skowron PC Optometrist CurrentSince Oct 4, 2022 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co., Inc. Optometrist CurrentSince Oct 6, 2014 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Oct 6, 2014 Accepting new patients

Locations

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

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

370 N York St
Elmhurst, IL 60126
Phone (630) 834-6244

Organizations & group practices 4

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1336568278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E HURON ST",
            "address_2": "APT 3605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112766",
            "telephone_number": "847-714-7079"
        },
        {
            "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": [],
    "basic": {
        "last_name": "BOKSA",
        "first_name": "ANASTASIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.