Individual provider Active NPI

Steven K. Kajita, P.C

  • Optometrist
  • Chicago, IL
National Provider Identifier
1558358283
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008064 Issued in IL
Practice address
2525 N Lincoln Ave
Suite D-1
Chicago, IL 60614-2313
Phone
(773) 549-1516
Fax
(773) 549-8928
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008064 IL Primary

Addresses

Primary practice location

2525 N Lincoln Ave
Suite D-1
Chicago, IL 60614-2313

Mailing address

2525 N Lincoln Ave
Suite D-1
Chicago, IL 60614-2313
Phone (773) 549-1516

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
I20110125001250 IL Practitioner - Optometry 0345429114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 N Lincoln Ave
Suite D1
Chicago, IL 60614-8018
Phone (773) 549-1516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008064ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven K. Kajita O.D. P.C. CurrentSince Dec 6, 2010 Accepting new patients
United Eye Care Providers, LLC Optometrist PastSince Dec 6, 2010 Accepting new patients

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1558358283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N LINCOLN AVE",
            "address_2": "SUITE D-1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142313",
            "telephone_number": "773-549-1516",
            "fax_number": "773-549-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N LINCOLN AVE",
            "address_2": "SUITE D-1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142313",
            "telephone_number": "773-549-1516",
            "fax_number": "773-549-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJITA",
        "first_name": "STEVEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.