Dawn M Birch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.007794 Issued in IL

Practice address

6254 S Pulaski Rd
Chicago, IL 60629-4610

Phone

(773) 581-1515

Fax

(773) 581-9663

NPI assigned

Dec 19, 2006

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Midwest Eye Group, P.C.

  dba Midwest Eye Group

  • Optometrist
  • Chicago, IL
  • NPI 1356513337
  Authorized official Same address or phone
• Cole Vision Corporation

  • Optometrist
  • Mason, OH
  • NPI 1508903295
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1356404248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S MICHIGAN AVE",
            "address_2": "3302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161465",
            "telephone_number": "773-343-7638",
            "fax_number": "312-641-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294610",
            "telephone_number": "773-581-1515",
            "fax_number": "773-581-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.007794",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-007794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bioscrip Pharmacy, Inc. (BioScrip Pharmacy)
• Biotidal Technology, Inc
• Birch Optical
• Birch River Wellness, P.C.
• Deborah Birch-Gaytan, M.A.
• Katrina Lynn Birch, M.D.
• Kristina Nielsen Birch, DPT
• Noah Warren Birch, M.D., PH.D.
• Lindsay Birchfield, RD
• Maia Birchmoon-Gordon, RN, IBCLC

• 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 Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.