Organization Active NPI

Dr. Joanna M. Kawecka, P.C.

  • Optometrist
  • Schaumburg, IL
National Provider Identifier
1639566748
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010239 Issued in IL
Legal business name
DR. JOANNA M. KAWECKA, P.C.
Practice address
700 E Higgins Rd
Schaumburg, IL 60173-4701
Phone
(847) 884-8799
Fax
(847) 884-7577
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Joanna M Kawecka, O.D.NPI 1326371204
Title
Owner
Phone
(847) 884-8799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046010239 IL Primary

Addresses

Primary practice location

700 E Higgins Rd
Schaumburg, IL 60173-4701

Mailing address

700 E Higgins Rd
Schaumburg, IL 60173-4701
Phone (847) 884-8799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150714001000 IL Part B Supplier - Clinic/Group Practice 4981917366 Receives reassigned benefits from 4 practitioners
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1639566748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734701",
            "telephone_number": "847-884-8799",
            "fax_number": "847-884-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734701",
            "telephone_number": "847-884-8799",
            "fax_number": "847-884-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOANNA M. KAWECKA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "KAWECKA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-884-8799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.