Individual provider Active NPI

Veronica Kacherova, O.D.

  • Optometrist
  • Niles, IL
National Provider Identifier
1437414596
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010552 Issued in IL
Practice address
239 Golf Mill Ctr
Suite 255
Niles, IL 60714-5658
Phone
(847) 297-2286
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010552 IL Primary

Addresses

Primary practice location

239 Golf Mill Ctr
Suite 255
Niles, IL 60714-5658

Mailing address

2442 Palazzo CT
Buffalo Grove, IL 60089-4677

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
I20120816000904 IL Practitioner - Optometry 0749436152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expert Family Eyecare LLCGroup PAC ID 5991182529, 2 clinicians

Practice addresses (Care Compare)

185 Milwaukee Ave
Suite 110
Lincolnshire, IL 60069-3085
Phone (224) 623-2095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010552ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Family Eyecare LLC Optometrist CurrentSince Aug 29, 2021 Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients
Visionworks, Inc Past Accepting new patients

Locations

185 Milwaukee Ave
Ste 110
Lincolnshire, IL 60069
Phone (224) 623-2095

Organizations & group practices 4

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1437414596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 PALAZZO CT",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GOLF MILL CTR",
            "address_2": "SUITE 255",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145658",
            "telephone_number": "847-297-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHEROVA",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.