Carly Szafranski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.009975 Issued in IL

Practice address

5501 W Plainfield Rd
Countryside, IL 60525-3591

Phone

(708) 482-7744

Fax

(708) 482-8838

NPI assigned

Aug 16, 2007

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, CA2 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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avani Patel Optometric CorporationGroup PAC ID 1052780632, 12 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.

• Avani Patel Optometric Corporation

  • Optometrist
  • Fresno, CA
  • NPI 1659096220
  Medicare reassignment Care Compare group NPD
• Ogden Vison Center LLC

  • Optometrist
  • Downers Grove, IL
  • NPI 1356117501
  NPD (past)
• Plainfield Vision Center LLC

  • Optometrist
  • Countryside, IL
  • NPI 1194016717
  NPD (past)
• Visionworks, Inc.

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  NPD (past)
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1437341047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18234 HALSTED ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302508",
            "telephone_number": "708-798-7711",
            "fax_number": "708-798-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 W PLAINFIELD RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253591",
            "telephone_number": "708-482-7744",
            "fax_number": "708-482-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAFRANSKI",
        "first_name": "CARLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kathryn Stiff, MOT, OTR
• Alicia Swanson, MSN, APRN, PMHNP-C
• Basman Sweis, PSY. D.
• Swim Learn Play
• Saleeha Syed
• Timothy J Szczepaniak
• Jocelyn Tam
• Kelli Jean Tande, BCBA
• Megan Christine Taschner, DPT
• Ariel Taylor

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.