Raechelle E Paik, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010090 Issued in IL

Practice address

1101 W Jackson Blvd
Optical
Chicago, IL 60607-2905

Phone

(877) 734-3844

NPI assigned

Aug 28, 2008

Sex

Female

Sole proprietor

No

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R a Vision CorporationGroup PAC ID 8325565559, 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 and National Provider Directory roles.

• R a Vision Corporation

  dba Uptown Family Vision

  • Optometrist
  • Park Ridge, IL
  • NPI 1255172334
  Medicare reassignment Care Compare group NPD
• Art of Vision Eyecare Professionals P.C.

  • Optometrist
  • Chicago, IL
  • NPI 1659698017
  Medicare reassignment Authorized official
• Uptown Family Vision Inc.

  • Optometrist
  • Park Ridge, IL
  • NPI 1417346065
  NPD

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429315200000",
    "number": "1407004724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W JACKSON BLVD",
            "address_2": "OPTICAL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072905",
            "telephone_number": "877-734-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W JACKSON BLVD",
            "address_2": "OPTICAL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072905",
            "telephone_number": "877-734-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIK",
        "first_name": "RAECHELLE",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2015-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Paik, O.D.
• James Paik, MD
• Justin Paik
• Leanna Paik, PT, DPT
• Naree Paik, DDS
• Sanghyun M Paik
• Pain Management Services Midwest, LTD.
• Pain Management Specialists LTD
• Pain Net Medical Group
• Pain Specialists of Illinois, S.C (Ortho Spine and Pain Institute)

• 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 Apr 18, 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.