Individual provider Active NPI

Sylwia Dominika Szewczyk, O.D

  • Optometrist
  • Chicago, IL
National Provider Identifier
1568569614
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.009890 Issued in IL
Practice address
5526 N Milwaukee Ave Unit B
Chicago, IL 60630-1227
Phone
(773) 774-2200
Fax
(773) 774-2211
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009890 IL Primary

Addresses

Primary practice location

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

Mailing address

1211 S Prairie Ave
Apt 1805
Chicago, IL 60605-3652
Phone (773) 774-2200

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
I20061114000390 IL Practitioner - Optometry 5799783379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5526 N Milwaukee Ave
Suite B
Chicago, IL 60630-1248
Phone (773) 774-2200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.009890ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Family Eye Care LTD Optometrist CurrentSince Oct 20, 2006 Accepting new patients

Locations

5526 N Milwaukee Ave
Chicago, IL 60630

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

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1568569614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S PRAIRIE AVE",
            "address_2": "APT 1805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053652",
            "telephone_number": "773-774-2200",
            "fax_number": "773-774-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5526 N MILWAUKEE AVE UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301227",
            "telephone_number": "773-774-2200",
            "fax_number": "773-774-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZEWCZYK",
        "first_name": "SYLWIA",
        "middle_name": "DOMINIKA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.