Individual provider Active NPI

Lauren Wojcik McNicholas, O.D.

  • Optometrist
  • Romeoville, IL
National Provider Identifier
1407297435
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-010694 Issued in IL
Practice address
330 Spangler Rd
Romeoville, IL 60446-1840
Phone
(815) 886-0800
NPI assigned
Jul 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 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 046-010694 IL Primary

Addresses

Primary practice location

330 Spangler Rd
Romeoville, IL 60446-1840

Mailing address

330 Spangler Rd
Romeoville, IL 60446-1840
Phone (815) 886-0800

Other practice location 1

14700 Kolmar Ave
Midlothian, IL 60445-3237
Phone (708) 687-2500

Other practice location 2

321 S Larkin Ave
Joliet, IL 60436-1249
Phone (708) 423-0085

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
I20200721003980 IL Practitioner - Optometry 4385942671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-010694ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Wojcik McNicholas, O.D., P.C. Optometrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

330 Spangler Rd
Romeoville, IL 60446
Phone (815) 866-0800

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": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1407297435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SPANGLER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461840",
            "telephone_number": "815-886-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SPANGLER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461840",
            "telephone_number": "815-886-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14700 Kolmar Ave",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "IL",
            "postal_code": "604453237",
            "country_code": "US",
            "telephone_number": "708-687-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 S Larkin Ave",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604361249",
            "country_code": "US",
            "telephone_number": "708-423-0085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJCIK MCNICHOLAS",
        "first_name": "LAUREN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-010694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.