Individual provider Active NPI

Liliya Polyek, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1629641857
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011544 Issued in IL
Practice address
1101 S Canal St Ste 108
Chicago, IL 60607-4940
Phone
(312) 558-0159
NPI assigned
Jul 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011544 IL Primary

Addresses

Primary practice location

1101 S Canal St Ste 108
Chicago, IL 60607-4940

Mailing address

1101 S Canal St Ste 108
Chicago, IL 60607-4940
Phone (312) 588-0159

Other practice location 1

2635 N Elston Ave
Chicago, IL 60647-2018
Phone (773) 276-1269

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
I20211102002590 IL Practitioner - Optometry 6305234857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011544ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Aug 23, 2021 Accepting new patients
Visionworks, Inc CurrentSince Aug 23, 2021 Accepting new patients

Locations

4313 S Pulaski Rd
Chicago, IL 60632
Phone (773) 847-1911

2635 N Elston Ave
Chicago, IL 60647
Phone (773) 276-1269

1101 S Canal St
Ste 108
Chicago, IL 60607
Phone (312) 558-0159

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

19100 Ridgewood Pkwy
Bldg 1
San Antonio, TX 78259
Phone (726) 444-4069

Interoperability endpoints

  • Direct secure messaging: liliya.polyek.1@3547.direct.athenahealth.com

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": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1629641857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S CANAL ST STE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074940",
            "telephone_number": "312-588-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CANAL ST STE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074940",
            "telephone_number": "312-558-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2635 N Elston Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606472018",
            "country_code": "US",
            "telephone_number": "773-276-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLYEK",
        "first_name": "LILIYA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.