Individual provider Active NPI

Clarence Stephen Denis, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1427822014
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46011839 Issued in IL
Practice address
3500 W Peterson Ave Ste 401
Chicago, IL 60659-3307
Phone
(773) 588-3090
NPI assigned
Nov 14, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004459A IN
Optometrist 152W00000X OPC6780 FL
Optometrist 152W00000X 46011839 IL Primary

Addresses

Primary practice location

3500 W Peterson Ave Ste 401
Chicago, IL 60659-3307

Mailing address

3500 W Peterson Ave Ste 401
Chicago, IL 60659-3307
Phone (773) 588-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250812003393 IN Practitioner - Optometry 4183122732 Reassigns benefits to 1 organization
I20250814004631 IL Practitioner - Optometry 4183122732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Midwestern University College of Dental Medicine, Downers Grove, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles S Ovitsky PCGroup PAC ID 7012175102, 14 clinicians

Practice addresses (Care Compare)

3500 S Giles Ave
Chicago, IL 60653-1106
Phone (312) 326-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6780FLMDOptometrist
46011839ILMDOptometrist
18004459AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles S Ovitsky PC Optometrist CurrentSince Aug 5, 2025 Accepting new patients
Ovitsky Vision Care of Indiana PC Optometrist CurrentSince Aug 5, 2025 Accepting new patients

Locations

3500 S Giles Ave
Chicago, IL 60653
Phone (312) 326-2000

3500 W Peterson Ave
Ste 401
Chicago, IL 60659

1000 Palm Ave
Mattoon, IL 61938
Phone (217) 234-7403

350 W South 1st St
Red Bud, IL 62278
Phone (618) 282-3891

1100 S Lewis Ave
Waukegan, IL 60085
Phone (847) 244-8196

Organizations & group practices 2

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1427822014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W PETERSON AVE STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593307",
            "telephone_number": "773-588-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W PETERSON AVE STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593307",
            "telephone_number": "773-588-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENIS",
        "first_name": "CLARENCE",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004459A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6780",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46011839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.