Individual provider Active NPI

Caroline Kaczowka, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1669362935
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011981 Issued in IL
Practice address
5600 W Addison St Ste 102
Chicago, IL 60634-4401
Phone
(773) 736-1717
NPI assigned
Jul 8, 2025
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011981 IL Primary

Addresses

Primary practice location

5600 W Addison St Ste 102
Chicago, IL 60634-4401

Mailing address

4701 N Orange Ave
Norridge, IL 60706-4409

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
I20250807004417 IL Practitioner - Optometry 5597263665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5600 W Addison St
Suite 102
Chicago, IL 60634-4401
Phone (773) 736-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011981ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of Chicago and Highland Park CurrentSince Jul 29, 2025 Accepting new patients
Eye Specialists of Chicago and Highland Park Multi-Specialty CurrentSince Jul 29, 2025 Accepting new patients

Locations

5600 W Addison St
Ste 102
Chicago, IL 60634
Phone (773) 561-5100

767 Park Ave W
Ste 150
Highland Park, IL 60035
Phone (847) 432-1855

Interoperability endpoints

  • Direct secure messaging: ckaczowka@esch.intellechartdirect.net

Organizations & group practices 2

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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1669362935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N ORANGE AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607064409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-736-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZOWKA",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.