Individual provider Active NPI

Loretta Borawski, O.D.

  • Optometrist
  • Buffalo Grove, IL
National Provider Identifier
1639239080
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46009887 Issued in IL
Practice address
45 N Buffalo Grove Rd
Buffalo Grove, IL 60089-1701
Phone
(847) 243-8176
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 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 46009887 IL Primary

Addresses

Primary practice location

45 N Buffalo Grove Rd
Buffalo Grove, IL 60089-1701

Mailing address

45 N Buffalo Grove Rd
Buffalo Grove, IL 60089-1701
Phone (847) 243-8176

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
I20090914000060 IL Practitioner - Optometry 3779639984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Eye Care LLCGroup PAC ID 3971893090, 2 clinicians

Practice addresses (Care Compare)

45 N Buffalo Grove Rd
Buffalo Grove, IL 60089-1701
Phone (847) 243-8176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46009887ILMDOptometrist

Organizations & group practices 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1639239080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N BUFFALO GROVE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891701",
            "telephone_number": "847-243-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N BUFFALO GROVE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891701",
            "telephone_number": "847-243-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAWSKI",
        "first_name": "LORETTA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.