Individual provider Active NPI

Andrew O Lewicky, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1407893449
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036044340 Issued in IL
Practice address
3982 N Milwaukee Ave
Chicago, IL 60641-2703
Phone
(773) 282-2000
Fax
(773) 282-9428
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036044340 IL Primary

Addresses

Primary practice location

3982 N Milwaukee Ave
Chicago, IL 60641-2703

Mailing address

3982 N Milwaukee Ave
Chicago, IL 60641-2703
Phone (773) 282-2000

Other identifiers 1

IdentifierTypeStateIssuer
036044340MedicaidIL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629001133 IL Practitioner - Ophthalmology 1658317649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois College of OptometryGroup PAC ID 7416851639, 77 clinicians
Ocular Partners PLLCGroup PAC ID 7113829532, 20 clinicians

Practice addresses (Care Compare)

3241 S Michigan Ave
Chicago, IL 60616-3878
Phone (312) 949-7751

836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 296-8000

Hospital & facility affiliations

  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036044340ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocular Partners PLLC CurrentSince Jun 1, 2021 Accepting new patients
Arbor Center for Eyecare Current Accepting new patients
Illinois College of Optometry CurrentSince Jun 1, 2005 Accepting new patients

Locations

5086 N Elston Ave
Chicago, IL 60630
Phone (773) 282-2000

1525 E 53rd St
Ste 1002
Chicago, IL 60615
Phone (773) 288-2020

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

1431 N Western Ave
Chicago, IL 60622
Phone (312) 633-5866

2640 183rd St
Homewood, IL 60430
Phone (708) 798-6633

11600 S Kedzie Ave
Ste H
Merrionette Park, IL 60803
Phone (708) 377-3730

9731 165th St
Ste 31
Orland Park, IL 60467
Phone (708) 364-0020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: alewicky@opillinois.intellechartdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1407893449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412703",
            "telephone_number": "773-282-2000",
            "fax_number": "773-282-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3982 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412703",
            "telephone_number": "773-282-2000",
            "fax_number": "773-282-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWICKY",
        "first_name": "ANDREW",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036044340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044340",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.