Individual provider Active NPI

Christine Martinson Zeifert, OD

  • Optometrist
  • Highland Park, IL
National Provider Identifier
1467766436
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-010328 Issued in IL
Practice address
1849 Green Bay Rd
Ste 165
Highland Park, IL 60035
Phone
(847) 497-2020
Fax
(847) 497-2002
NPI assigned
Aug 2, 2010
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010328 IL
Optometrist 152W00000X 046-010328 IL Primary

Addresses

Primary practice location

1849 Green Bay Rd
Ste 165
Highland Park, IL 60035

Mailing address

1849 Green Bay Rd
Ste 165
Highland Park, IL 60035
Phone (847) 497-2020

Other names 1

  • Christine Lynn Martinson Former name

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
I20110104001286 IL Practitioner - Optometry 5890984074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeifert Eye Care LTDGroup PAC ID 1456650092, 4 clinicians

Practice addresses (Care Compare)

1849 Green Bay Rd
Suite 165
Highland Park, IL 60035-3165
Phone (847) 533-5170

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-010328ILMDOptometrist
046010328ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zeifert Eye Care, LTD Optometrist CurrentSince Apr 14, 2016 Accepting new patients
Fenner Plastic Surgery, LTD. PastSince Sep 1, 2010 Accepting new patients

Locations

1849 Green Bay Rd
Ste 165
Highland Park, IL 60035
Phone (847) 533-5170

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1467766436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 GREEN BAY RD",
            "address_2": "STE 165",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "60035",
            "telephone_number": "847-497-2020",
            "fax_number": "847-497-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 GREEN BAY RD",
            "address_2": "STE 165",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "60035",
            "telephone_number": "847-497-2020",
            "fax_number": "847-497-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIFERT",
        "first_name": "CHRISTINE",
        "middle_name": "MARTINSON",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010328",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-010328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "MARTINSON",
            "middle_name": "LYNN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.