Eugene Berkovich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

46009457 Issued in IL

Practice address

6641 Grand Ave
Suite D
Gurnee, IL 60031-5262

Phone

(847) 856-1200

Fax

(847) 856-8527

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Half Day Optical LLCGroup PAC ID 9830450980, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Half Day Optical LLC

  • Optometrist
  • Buffalo Grove, IL
  • NPI 1851818595
  Medicare reassignment Care Compare group NPD Authorized official
• Stonebrook Optical LLC

  dba Pearle Vision

  • Optometrist
  • Gurnee, IL
  • NPI 1114330792
  Medicare reassignment NPD Authorized official
• Ziva Optical II, LTD.

  dba Pearle Vision

  • Optometrist
  • Crystal Lake, IL
  • NPI 1104957828
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1366514176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 GRAND AVE",
            "address_2": "SUITE D",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315262",
            "telephone_number": "847-856-1200",
            "fax_number": "847-856-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 GRAND AVE",
            "address_2": "SUITE D",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315262",
            "telephone_number": "847-856-1200",
            "fax_number": "847-856-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOVICH",
        "first_name": "EUGENE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Bekhash
• Ellen M Belluomini, LCSW
• Linda Belson, O.D.
• Aimee Elizabeth Beluch, OD
• Robert J Bennett, LICENSED SCHOOL PSYC
• Best Vital RX Inc (Best Vital RX Incorporated)
• Beyond Rehab LLC
• Thomas Bezouska, DDS
• Kopal Bhatti, LPC
• Fred Peter Biasiello III, D.D.S.

• Optometrist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.