Individual provider Active NPI

Svetlana Kalisker, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1497831143
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008511 Issued in IL
Practice address
2822 W Devon Ave
Chicago, IL 60659-1502
Phone
(773) 338-1290
Fax
(847) 918-1132
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008511 IL Primary

Addresses

Primary practice location

2822 W Devon Ave
Chicago, IL 60659-1502

Mailing address

217 Coventry Cir
Vernon Hills, IL 60061-1208
Phone (847) 918-1130

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
I20081009000119 IL Practitioner - Optometry 3577631134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2822 W Devon Ave
Chicago, IL 60659-1502
Phone (773) 338-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008511ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kalisker and Associates Incorporated Optometrist CurrentSince Dec 26, 2016 Accepting new patients
Senior Eye Associates SC Optometrist PastSince Jul 9, 2007 Accepting new patients

Locations

2822 W Devon Ave
Chicago, IL 60659
Phone (773) 338-1290

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1497831143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 COVENTRY CIR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611208",
            "telephone_number": "847-918-1130",
            "fax_number": "847-918-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591502",
            "telephone_number": "773-338-1290",
            "fax_number": "847-918-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISKER",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.