Mila Petkovic, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

46009805 Issued in IL

Practice address

2 W Talcott Rd Ste 30
Park Ridge, IL 60068-5559

Phone

(847) 696-2434

Fax

(847) 696-1481

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MA2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Illinois LLCGroup PAC ID 3577869965, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Myeyedr Optometry of Illinois, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1245695378
  Medicare reassignment Care Compare group NPD
• Big City Optical LLC

  • Optometrist
  • Chicago, IL
  • NPI 1568900140
  NPD
• Myeyedr Optometry of Illinois, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1154297752
  NPD
• Myeyedr Optometry of Illinois, LLC

  • Optometrist
  • Gurnee, IL
  • NPI 1275065013
  NPD
• Rasa Tamulavichus OD PC

  • Optometrist
  • Evergreen Park, IL
  • NPI 1629267976
  NPD
• Six Corners Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1629899141
  NPD (past)
• Thaddeus, LTD

  • Optometrist
  • Chicago, IL
  • NPI 1831120005
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1639100878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD STE 30",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685559",
            "telephone_number": "847-696-2434",
            "fax_number": "847-696-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETKOVIC",
        "first_name": "MILA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Petersen, PSY.D.
• Ella Margaret Petersen, LCSW
• Courtney Lee Peterson, LCSW
• Robert Michael Peterson Jr., D.D.S., M.S
• Ross D Peterson
• Brian Matthew Pettey
• Trang T Pham-Smith, PSY.D.
• Alexandra Jordan Douglas Phelps, MD
• Phillip H Markowitz, D.O., SC
• John V. Phillips, M.D.

• Optometrist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.