Active NPI
Seth Anderson, OD
- Optometrist
- Chicago, IL
National Provider Identifier
1548876220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011471
- Practice address
- 5153 S Pulaski Rd Unit B
Chicago, IL 60632-4219 - Phone
- (773) 284-9844
- NPI assigned
- Sep 18, 2020
- Last updated
- Mar 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011471 | IL | Primary |
Addresses
Primary practice location
5153 S Pulaski Rd Unit B
Chicago, IL 60632-4219
Mailing address
5153 S Pulaski Rd Ste B
Chicago, IL 60632-4219
Phone (773) 284-9844
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
698 Roosevelt Rd
Glen Ellyn, IL 60137-5819
Phone (630) 545-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011471 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulaski Vision Center LLC | Optometrist | Current | Accepting new patients |
Locations
5153 S Pulaski Rd
Unit B
Chicago, IL 60632
Phone (773) 284-9844
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.
-
- Optometrist
- Berwyn, IL
- NPI 1235343641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1548876220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5153 S PULASKI RD STE B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606324219",
"telephone_number": "773-284-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 S PULASKI RD UNIT B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606324219",
"telephone_number": "773-284-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SETH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-18",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011471",
"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 Mar 26, 2025; 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.