Individual provider Active NPI

Christina Marchione, O.D.

  • Optometrist
  • Burbank, IL
National Provider Identifier
1346274867
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009083 Issued in IL
Practice address
5520 W 79TH St
Burbank, IL 60459-1302
Phone
(708) 499-2020
Fax
(708) 499-2092
NPI assigned
Jul 10, 2006
Last updated
Jun 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009083 IL Primary

Addresses

Primary practice location

5520 W 79TH St
Burbank, IL 60459-1302

Mailing address

5520 W 79TH St
Burbank, IL 60459-1302
Phone (708) 499-2020

Other identifiers 5

IdentifierTypeStateIssuer
42677OtherILDAVIS VISION
7084992020OtherILVSP
IL09083OtherILVBA
410049353OtherILRAILROAD MEDICARE
IL9083OtherILEYEMED

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
I20091008000446 IL Practitioner - Optometry 4284770090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5520 W 79TH St
Burbank, IL 60459-1302
Phone (708) 499-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009083ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care Center of Burbank, LTD Optometrist CurrentSince Oct 30, 2002 Accepting new patients

Locations

5520 W 79th St
Burbank, IL 60459
Phone (708) 499-2020

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1346274867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591302",
            "telephone_number": "708-499-2020",
            "fax_number": "708-499-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591302",
            "telephone_number": "708-499-2020",
            "fax_number": "708-499-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHIONE",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "42677",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "7084992020",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBA",
            "identifier": "IL09083",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410049353",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IL9083",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

Verify at the official NPI Registry.