Active NPI
Charles S Ovitsky, O.D
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046007650
- Practice address
- 3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3306 - Phone
- (773) 588-3090
- Fax
- (773) 588-3210
- NPI assigned
- May 16, 2006
- Last updated
- Sep 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 046007650 | IL | Primary |
Addresses
Primary practice location
3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3306
Mailing address
3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3306
Phone (773) 588-3090
Other practice location 1
100 Chesterfield Business Pkwy Ste 200
Chesterfield, MO 63005-1271
Phone (773) 588-3090
Other practice location 2
445 Minnesota St Ste 1500
Saint Paul, MN 55101-2269
Phone (773) 588-3090
Other practice location 3
3815 River Crossing Pkwy Ste 100
Indianapolis, IN 46240-7766
Phone (773) 588-3090
Other practice location 4
11414 W Park Pl Ste 202
Milwaukee, WI 53224-3500
Phone (773) 588-3090
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001604768 | Other | IL | BLUE CROSS BLUE SHIELD |
| 410022813 | Other | RAILROAD MEDICARE | |
| 046007650 | Medicaid | IL | |
| P01107046 | Other | RAIL ROAD MEDICARE | |
| 310055007 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MN, WI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3307
Phone (773) 588-3090
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.24 of 100
- Quality
- 74.48
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046007650 | IL | MD | Optometrist |
| 3534 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ovitsky Vision Care of Minnesota PC | Optometrist | Current | Accepting new patients |
| Charles S Ovitsky PC | Optometrist | Current | Accepting new patients |
| Ovitsky Vision Care of Wisconsin LTD | Optometrist | Current | Accepting new patients |
| Ovitsky Vision Care of Indiana PC | Optometrist | Current | Accepting new patients |
| Senior Eye Associates SC | Optometrist | Past | Accepting new patients |
| MSMC Investors LLC | Past | Accepting new patients | |
| On Site Dermatology of Illinois PLLC | Past | Accepting new patients | |
| Specialty Physicians of Illinois, LLC | Past | Accepting new patients |
Locations (25 of 111)
2330 W Galena Blvd
Aurora, IL 60506
Phone (630) 896-4686
101 S Belt W
Belleville, IL 62220
Phone (618) 227-2700
40 N 64th St
Belleville, IL 62223
Phone (618) 397-8400
3601 S Harlem Ave
Berwyn, IL 60402
Phone (708) 484-1486
311 Edgewater Dr
Bloomingdale, IL 60108
Phone (630) 894-7400
133 Mohawk Dr
Bourbonnais, IL 60914
Phone (815) 936-6240
150 Weiland Rd
Buffalo Grove, IL 60089
Phone (224) 456-6662
601 W Lincoln Ave
Caseyville, IL 62232
Phone (618) 344-9355
1910 E McCord St
#161E
Centralia, IL 62801
Phone (618) 533-1200
1315 Curt Dr
Champaign, IL 61821
Phone (217) 352-5707
10935 S Halsted St
Chicago, IL 60628
Phone (773) 926-2000
1366 W Fullerton Ave
Chicago, IL 60614
Phone (630) 734-0640
1425 W Estes Ave
Chicago, IL 60626
Phone (773) 923-4780
14500 S Manistee Ave
Chicago, IL 60633
Phone (708) 862-1260
1512 W Fargo Ave
Chicago, IL 60626
Phone (773) 465-7751
2026 N Clark St
Chicago, IL 60614
Phone (773) 549-1840
2055 W Balmoral Ave
Chicago, IL 60625
Phone (773) 561-8661
2425 E 71st St
Chicago, IL 60649
Phone (773) 721-5000
2444 W Touhy Ave
Chicago, IL 60645
Phone (773) 224-7705
2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599
2732 N Hampden Ct
Chicago, IL 60614
Phone (773) 248-6000
2829 S California Ave
Chicago, IL 60608
Phone (646) 431-0013
2840 W Foster Ave
Chicago, IL 60625
Phone (773) 248-6000
2940 W 87th St
Chicago, IL 60652
Phone (773) 265-3403
3311 S Michigan Ave
Chicago, IL 60616
Phone (312) 326-9101
Interoperability endpoints
- charles.ovitsky@direct.revolutionehr.com
Organizations & group practices 9
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
- Chicago, IL
- NPI 1568647220
-
- Optometrist
- Indianapolis, IN
- NPI 1831694330
-
- Optometrist
- Saint Paul, MN
- NPI 1174010656
-
- Optometrist
- Milwaukee, WI
- NPI 1699262170
-
- Optometrist
- Chicago, IL
- NPI 1821049693
-
- General Acute Care Hospital
- Blue Island, IL
- NPI 1376703215
-
- Dermatology Physician
- Chicago, IL
- NPI 1437859592
-
- Optometrist
- Chicago, IL
- NPI 1316088305
-
- Urgent Care Clinic/Center
- Frankfort, IL
- NPI 1962024612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1558313189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 W PETERSON AVE",
"address_2": "SUITE 401",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593306",
"telephone_number": "773-588-3090",
"fax_number": "773-588-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 W PETERSON AVE",
"address_2": "SUITE 401",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593306",
"telephone_number": "773-588-3090",
"fax_number": "773-588-3210"
}
],
"practiceLocations": [
{
"address_1": "100 Chesterfield Business Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630051271",
"country_code": "US",
"telephone_number": "773-588-3090",
"fax_number": "773-588-3210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "445 Minnesota St Ste 1500",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012269",
"country_code": "US",
"telephone_number": "773-588-3090",
"fax_number": "773-588-3210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3815 River Crossing Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462407766",
"country_code": "US",
"telephone_number": "773-588-3090",
"fax_number": "773-588-3210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11414 W Park Pl Ste 202",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532243500",
"country_code": "US",
"telephone_number": "773-588-3090",
"fax_number": "773-588-3210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OVITSKY",
"first_name": "CHARLES",
"middle_name": "S",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046007650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0001604768",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410022813",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046007650",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01107046",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310055007",
"state": "MO"
}
],
"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 Sep 4, 2018; 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.