Annmarie Pitra, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008824 Issued in IL

Practice address

1712 Ogden Ave Ste D
Lisle, IL 60532-1230

Phone

(630) 541-3169

Fax

(630) 541-3847

NPI assigned

Aug 23, 2006

Last updated

May 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Annmarie Surdich-Pitra OD PC

  dba Optometry & Eyewear Gallery

  • Health Maintenance Organization
  • Lisle, IL
  • NPI 1194055525
  Medicare reassignment

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1427165885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 OGDEN AVE STE D",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321230",
            "telephone_number": "630-541-3169",
            "fax_number": "630-541-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 OGDEN AVE STE D",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321230",
            "telephone_number": "630-541-3169",
            "fax_number": "630-541-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITRA",
        "first_name": "ANNMARIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Phillips, M.A. CCC-SLP
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• Coral Nicole Pidone, LCPC
• Matthew E Pilditch, MD
• Catherine Marie Piscopo, LMT
• Plaudits Speech Therapy, Inc.
• Polcyn Couseling PC
• Lauren Polcyn
• Poorna Inc (Always Best Care Senior Services)
• Marisa Lauren Potter

• Optometrist in Lisle, IL
• Providers in Lisle, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.
• 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.