Active NPI
Steve Pelitsky, O.D.
- Optometrist
- Arlington Heights, IL
National Provider Identifier
1669536306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009057
- Practice address
- 704 E Rand Rd
Arlington Heights, IL 60004-4006 - Phone
- (847) 259-3933
- Fax
- (847) 259-7211
- NPI assigned
- Dec 20, 2006
- Last updated
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 046-009057 | IL | Primary |
Addresses
Primary practice location
704 E Rand Rd
Arlington Heights, IL 60004-4006
Mailing address
1648 Riverside CT
Glenview, IL 60025-2034
Phone (847) 924-7988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009057 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1669536306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 RIVERSIDE CT",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252034",
"telephone_number": "847-924-7988",
"fax_number": "847-259-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 E RAND RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600044006",
"telephone_number": "847-259-3933",
"fax_number": "847-259-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELITSKY",
"first_name": "STEVE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
- Pediatric and Family Dentistry PC
- Pediatric Associates of Arlington Heights, PLLC
- Pediatric Associates of Arlington HTS SC
- Pediatric Health Care Associates, S.C.
- Pediatric Solutions SC
- Dena Pelletreau, APN-CNP
- Carol Lynn Pellico, LCSW
- Laura Pembrook, L.C.P.C.
- Rachel M Perez Franco, M.D.
- Michaela Lynn Perez, QMHP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.