Organization Active NPI

Ideal Family Eye Care LTD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1538242136
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IDEAL FAMILY EYE CARE LTD
Practice address
5526 N Milwaukee Ave
Unit B
Chicago, IL 60630-1227
Phone
(773) 774-2200
NPI assigned
Oct 24, 2006
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Sylwia Dominika Szewczyk, O.DNPI 1568569614
Title
Owner
Phone
(773) 206-0130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

5526 N Milwaukee Ave
Unit B
Chicago, IL 60630-1227

Mailing address

5526 N Milwaukee Ave
Unit B
Chicago, IL 60630-1227
Phone (773) 774-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061114000403 IL Part B Supplier - Clinic/Group Practice 3678571254 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

5526 N Milwaukee Ave
Chicago, IL 60630

5526 N Milwaukee Ave
Ste B
Chicago, IL 60630
Phone (773) 774-2200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1538242136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 N MILWAUKEE AVE",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301227",
            "telephone_number": "773-774-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5526 N MILWAUKEE AVE",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301227",
            "telephone_number": "773-774-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL FAMILY EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "SZEWCZYK",
        "authorized_official_first_name": "SYLWIA",
        "authorized_official_middle_name": "DOMINIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-206-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "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 Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.