Individual provider Active NPI

Joanna E Slusky, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1366757320
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010361 Issued in IL
Practice address
2852 N Halsted St
Commercial Unit
Chicago, IL 60657-6531
Phone
(773) 549-1111
Fax
(773) 549-1116
NPI assigned
Aug 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010361 IL Primary

Addresses

Primary practice location

2852 N Halsted St
Commercial Unit
Chicago, IL 60657-6531

Mailing address

2852 N Halsted St
Commercial Unit
Chicago, IL 60657-6531
Phone (773) 549-1111

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
I20110317000311 IL Practitioner - Optometry 3072796762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halsted Eye Boutique, Inc.Group PAC ID 8022181130, 2 clinicians

Practice addresses (Care Compare)

2852 N Halsted St
Chicago, IL 60657-6531
Phone (773) 549-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1366757320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 N HALSTED ST",
            "address_2": "COMMERCIAL UNIT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576531",
            "telephone_number": "773-549-1111",
            "fax_number": "773-549-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 N HALSTED ST",
            "address_2": "COMMERCIAL UNIT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576531",
            "telephone_number": "773-549-1111",
            "fax_number": "773-549-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUSKY",
        "first_name": "JOANNA",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-15",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.