Samuel J Multack, D.O

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-124776 Issued in IL

Practice address

4001 Vollmer Rd
Olympia Fields, IL 60461-3168

Phone

(708) 747-4000

NPI assigned

May 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Midwestern University, Chicago College of Osteopathic Med, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multack Eye Care, S.CGroup PAC ID 6507015138, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Multack Eye Care, S.C

  • Ophthalmology Physician
  • Olympia Fields, IL
  • NPI 1851655989
  Medicare reassignment Care Compare group
• Laser and Cataract Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Frankfort, IL
  • NPI 1659984607
  NPD
• Laser and Cataract Institute, LLC

  • Ophthalmology Physician
  • Frankfort, IL
  • NPI 1679039457
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1619135233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 SOUTHWIND DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519251",
            "telephone_number": "815-462-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 VOLLMER RD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604613168",
            "telephone_number": "708-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULTACK",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-124776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036124776",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abtihaj Mulk, MD
• Michael Joseph Mullan II, PTA
• Brieann Alexandra Muller, M.D.
• Multack Eye Care, S.C
• Richard Floyd Multack, D.O.
• Kate Marie Murphy, ATC
• Ryan Murphy, D.O.
• Lisa Mussman
• Laura L Musyoka, DO
• Navin Naik, DO

• Ophthalmology Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.

Verify at the official NPI Registry.