Individual provider Active NPI

Stacy A Symanski, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1629029038
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036102757 Issued in IL
Practice address
2 Prudential Plaza
Suite 3175
Chicago, IL 60601
Phone
(312) 565-1600
Fax
(844) 272-6197
NPI assigned
May 12, 2006
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036102757 IL Primary

Addresses

Primary practice location

2 Prudential Plaza
Suite 3175
Chicago, IL 60601

Mailing address

2 Prudential Plaza
Suite 3175
Chicago, IL 60601
Phone (312) 565-1600

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000416 IL Practitioner - Ophthalmology 6507821956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036102757ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Eye Group, S.C. Past Accepting new patients
Monroe Medical Associates, SC Past Accepting new patients
Sr Cornea Consultants SC Ophthalmology Past Accepting new patients

Organizations & group practices 3

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1629029038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PRUDENTIAL PLAZA",
            "address_2": "SUITE 3175",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "312-565-1600",
            "fax_number": "844-272-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PRUDENTIAL PLAZA",
            "address_2": "SUITE 3175",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "312-565-1600",
            "fax_number": "844-272-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMANSKI",
        "first_name": "STACY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036102757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.