Individual provider Active NPI

Iwona B. Lazarz, OD

  • Optometrist
  • Oak Lawn, IL
National Provider Identifier
1588280358
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011442 Issued in IL
Practice address
6201 W 95TH St
Oak Lawn, IL 60453-3888
Phone
(708) 636-9393
Fax
(708) 636-2022
NPI assigned
Jun 17, 2020
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011442 IL Primary

Addresses

Primary practice location

6201 W 95TH St
Oak Lawn, IL 60453-3888

Mailing address

6201 W 95TH St
Oak Lawn, IL 60453-2701
Phone (708) 636-9393

Other practice location 1

17W682 Butterfield Rd Ste 101
Oakbrook Terrace, IL 60181-4029
Phone (708) 636-9393

Other practice location 2

4459 N Kedzie Ave
Chicago, IL 60625-4785
Phone (773) 866-2020

Other practice location 3

6500 W Irving Park Rd Ste I
Chicago, IL 60634-2454
Phone (773) 202-0181

Other practice location 4

68 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone (847) 541-3334

Other practice location 5

14494 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (708) 226-9393

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
I20220509001744 IL Practitioner - Optometry 2062899263 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Physicians, LTD Optometrist CurrentSince May 3, 2022 Accepting new patients
Mhac Optical Optometrist PastSince Jun 1, 2020 Accepting new patients
20/20 Eye Physicians of Indiana P C Past Accepting new patients

Locations

68 W Dundee Rd
Buffalo Grove, IL 60089
Phone (708) 636-9393

6201 W 95th St
Oak Lawn, IL 60453
Phone (708) 636-5615

17W682 Butterfield Rd
Ste 101
Oakbrook Terrace, IL 60181
Phone (708) 636-9393

14494 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 226-9393

Interoperability endpoints

  • Direct secure messaging: ilazarz@familyeyephysicians.intellechartdirect.net

Organizations & group practices 4

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1588280358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532701",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533888",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17W682 Butterfield Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814029",
            "country_code": "US",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4459 N Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606254785",
            "country_code": "US",
            "telephone_number": "773-866-2020",
            "fax_number": "773-866-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 W Irving Park Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606342454",
            "country_code": "US",
            "telephone_number": "773-202-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 W Dundee Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600893758",
            "country_code": "US",
            "telephone_number": "847-541-3334",
            "fax_number": "847-541-8442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14494 John Humphrey Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622638",
            "country_code": "US",
            "telephone_number": "708-226-9393",
            "fax_number": "708-403-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZARZ",
        "first_name": "IWONA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.