Individual provider Active NPI

Gregory Michael Pappas, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1386250884
Registry record updated Sep 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011468 Issued in IL
Practice address
1444 S Michigan Ave
Chicago, IL 60605-4827
Phone
(312) 588-5999
Fax
(312) 588-0599
NPI assigned
Sep 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011468 IL Primary

Addresses

Primary practice location

1444 S Michigan Ave
Chicago, IL 60605-4827

Mailing address

1444 S Michigan Ave
Chicago, IL 60605-4827
Phone (312) 588-5999

Other practice location 1

1800 N Milwaukee Ave
Chicago, IL 60647-6903
Phone (773) 904-8395

Other practice location 2

3201 S Wallace St
Chicago, IL 60616-3501
Phone (312) 225-5135

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
I20201216001172 IL Practitioner - Optometry 2860804861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solo Eye Care and Eyewear Gallery, LLCGroup PAC ID 8123043916, 9 clinicians

Practice addresses (Care Compare)

1444 S Michigan Ave
Chicago, IL 60605-4827
Phone (312) 588-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011468ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Eyes, LLC Optometrist CurrentSince Aug 8, 2021 Accepting new patients
Solo Eye Care & Eyewear Gallery, LLC Optometrist Current Accepting new patients
Solo Eye Care University Village PLLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Solo Eye Care Bridgeport PLLC Optometrist Past Accepting new patients
Sight Optical Co. Optometrist PastSince Apr 13, 2016 Accepting new patients

Locations

1444 S Michigan Ave
Chicago, IL 60605
Phone (312) 588-5999

3460 S Halsted St
Chicago, IL 60608
Phone (312) 225-5135

1 E Delaware Pl
Chicago, IL 60611
Phone (312) 266-9000

1306 S Halsted St
Chicago, IL 60607
Phone (312) 455-1306

15900 W 127th St
Ste 221B
Lemont, IL 60439
Phone (312) 888-9999

Organizations & group practices 6

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": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1386250884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606054827",
            "telephone_number": "312-588-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606054827",
            "telephone_number": "312-588-5999",
            "fax_number": "312-588-0599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606476903",
            "country_code": "US",
            "telephone_number": "773-904-8395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 S Wallace St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606163501",
            "country_code": "US",
            "telephone_number": "312-225-5135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.