William Jorgen Skoog

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011513 Issued in IL

Practice address

3241 S Michigan Ave
Chicago, IL 60616-4201

Phone

(312) 949-7000

NPI assigned

Jun 4, 2021

Sex

Male

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

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solo Eye Care and Eyewear Gallery, LLCGroup PAC ID 8123043916, 9 clinicians

Illinois College of OptometryGroup PAC ID 7416851639, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.skoog.iei@direct.ico.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Illinois College of Optometry

  • Optometrist
  • Chicago, IL
  • NPI 1285612390
  Medicare reassignment Care Compare group NPD
• Solo Eye Care & Eyewear Gallery, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1396968459
  Medicare reassignment Care Compare group NPD
• Solo Eye Care University Village PLLC

  • Optometrist
  • Chicago, IL
  • NPI 1881834836
  NPD (past)

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1659948081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164201",
            "telephone_number": "312-949-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOOG",
        "first_name": "WILLIAM",
        "middle_name": "JORGEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Lurie Skoller, LCSW
• Caroline L Skolnik
• Dimitra Skondra, MD
• Antonios Skondras, MD
• Gretchen Joann Skoog, PSYD
• Paige Skopick
• Nicole Catherine Skora, MD
• Emmalee Lynn Skorich, MD
• Andreas Skoubis, D.O.
• Aundrea Monique Skoullos

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.