Active NPI
Ema Avdagic
- Ophthalmology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036161226
- Practice address
- 836 W Wellington Ave FL 5
Chicago, IL 60657-5147 - Phone
- (773) 296-8000
- NPI assigned
- Mar 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 036161226 | IL | Primary |
Addresses
Primary practice location
836 W Wellington Ave FL 5
Chicago, IL 60657-5147
Mailing address
922 W Washinton Blvd
Unit 916
Chicago, IL 60607
Phone (646) 943-2886
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of New York at Stony Brook, School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 296-8000
Hospital & facility affiliations
- Advocate Illinois Masonic Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Center for Eyecare | Current | Accepting new patients | |
| Ocular Partners PLLC | Current | Accepting new patients |
Locations
836 W Wellington Ave
Fl 5
Chicago, IL 60657
Phone (773) 296-8000
836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054
1525 E 53rd St
Ste 1002
Chicago, IL 60615
Phone (773) 288-2020
1431 N Western Ave
Chicago, IL 60622
Phone (312) 633-5866
5086 N Elston Ave
Chicago, IL 60630
Phone (773) 282-2000
2640 183rd St
Homewood, IL 60430
Phone (708) 798-6633
11600 S Kedzie Ave
Ste H
Merrionette Park, IL 60803
Phone (708) 377-3730
11600 S Kedzie Ave
Ste C
Merrionette Park, IL 60803
Phone (708) 388-4400
9731 165th St
Ste 31
Orland Park, IL 60467
Phone (708) 364-0020
Interoperability endpoints
- eavdagic@opillinois.intellechartdirect.net
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.
-
- Ophthalmic Technician/Technologist
- Homewood, IL
- NPI 1295792901
-
- Durable Medical Equipment & Medical Supplies
- Homewood, IL
- NPI 1821129834
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1497287148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 W WASHINTON BLVD",
"address_2": "UNIT 916",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60607",
"telephone_number": "646-943-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE FL 5",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-296-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVDAGIC",
"first_name": "EMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2022-10-26",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036161226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.