Active NPI
Elizabeth S Mokaya, O.D.
- Optometrist
- Chicago, IL
National Provider Identifier
1659420925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009864
- Practice address
- 3136 N Lincoln Ave
Chicago, IL 60657-3117 - Phone
- (773) 871-8210
- Fax
- (773) 871-4290
- NPI assigned
- Jan 9, 2007
- Last updated
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-009864 | IL | Primary |
Addresses
Primary practice location
3136 N Lincoln Ave
Chicago, IL 60657-3117
Mailing address
1225 N Orleans St
#501
Chicago, IL 60610-7554
Phone (312) 961-7164
Other names 1
- Elizabeth A Salmon
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3136 N Lincoln Ave
Chicago, IL 60657-3117
Phone (773) 871-8210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009864 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nikoumanesh Eye Care LLC | Optometrist | Current | Accepting new patients |
| Shoreland Optical Co #27 Inc. | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| Six Corners Eye Care LLC | Optometrist | Past | Accepting new patients |
| Visionworks, Inc | Past | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Past | Accepting new patients |
| Thaddeus, LTD | Optometrist | Past | Accepting new patients |
Locations
1200 N Larrabee St
Chicago, IL 60610
Phone (312) 470-8945
1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334
3136 N Lincoln Ave
Chicago, IL 60657
Phone (773) 871-8210
Organizations & group practices 7
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.
-
- Optometrist
- Chicago, IL
- NPI 1275234866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1659420925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 N ORLEANS ST",
"address_2": "#501",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606107554",
"telephone_number": "312-961-7164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3136 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573117",
"telephone_number": "773-871-8210",
"fax_number": "773-871-4290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKAYA",
"first_name": "ELIZABETH",
"middle_name": "S",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SALMON",
"middle_name": "A",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.