Individual provider Active NPI

Charles S Ovitsky, O.D

  • Optometrist
  • Chicago, IL
National Provider Identifier
1558313189
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007650 Issued in IL
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0001604768OtherILBLUE CROSS BLUE SHIELD
410022813OtherRAILROAD MEDICARE
046007650MedicaidIL
P01107046OtherRAIL ROAD MEDICARE
310055007MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN, WI, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040329000292 IL Practitioner - Optometry 4789576398 Reassigns benefits to 1 organization
I20180730000558 MN Practitioner - Optometry 4789576398 Reassigns benefits to 1 organization
I20180906000313 WI Practitioner - Optometry 4789576398 Reassigns benefits to 1 organization
I20220217002567 IN Practitioner - Optometry 4789576398 Reassigns benefits to 1 organization

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
Charles S Ovitsky PCGroup PAC ID 7012175102, 14 clinicians

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 100Reported as group
Quality
74.48
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007650ILMDOptometrist
3534MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ovitsky Vision Care of Minnesota PC Optometrist CurrentSince Nov 2, 2017 Accepting new patients
Charles S Ovitsky PC Optometrist CurrentSince Jan 1, 2012 Accepting new patients
Ovitsky Vision Care of Wisconsin LTD Optometrist CurrentSince Jul 2, 2018 Accepting new patients
Ovitsky Vision Care of Indiana PC Optometrist CurrentSince Feb 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.