Active NPI
Christopher Rokosz, O.D.
- Optometrist
- Niles, IL
National Provider Identifier
1376692574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009039
- Practice address
- 307 Golf Mill Ctr
Niles, IL 60714-1217 - Phone
- (847) 803-1770
- NPI assigned
- Jan 9, 2007
- Last updated
- Feb 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-009039 | IL | Primary |
Addresses
Primary practice location
307 Golf Mill Ctr
Niles, IL 60714-1217
Mailing address
402 E Pine Lake Cir
Vernon Hills, IL 60061-1202
Phone (847) 968-2575
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009039 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1376692574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 E PINE LAKE CIR",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611202",
"telephone_number": "847-968-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 GOLF MILL CTR",
"city": "NILES",
"state": "IL",
"postal_code": "607141217",
"telephone_number": "847-803-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROKOSZ",
"first_name": "CHRISTOPHER",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, IL
- Ralph N. Robbins, D.D.S.
- Erika Robeck, M.A., CF-SLP
- Nadine Beth Robertson Dimare, LCSW
- Lynn Rodgers, LCPC
- Roger J. Pogorzelski D.D.S., P.C.
- Roland S Medansky & Raymond M Handler
- Ronaldo Macam,DMD,PC (Allsmiles Family Dental Center)
- Heather Rooney, PT
- Rose Duffy Lactation LLC
- Rose Duffy Lactation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.