Individual provider Active NPI

Hammad Mallick, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1679078430
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011567 Issued in IL
Practice address
321 N Michigan Ave
Chicago, IL 60601-3707
Phone
(312) 647-2020
Fax
(312) 263-0224
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2033 SC
Optometrist 152W00000X 046011567 IL Primary

Addresses

Primary practice location

321 N Michigan Ave
Chicago, IL 60601-3707

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

7710 Charlotte Hwy Ste 104
Indian Land, SC 29707-1016
Phone (803) 769-3736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190129001096 SC Practitioner - Optometry 0143567180 Reassigns benefits to 1 organization
I20210825001065 IL Practitioner - Optometry 0143567180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

321 N Michigan Ave
Chicago, IL 60601-3707
Phone (312) 641-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011567ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Dec 11, 2018 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Dec 11, 2018 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 16, 2021 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 16, 2021 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

2842 N Sheridan Rd
Chicago, IL 60657
Phone (773) 525-8700

1212 N Wells St
Ste 1
Chicago, IL 60610
Phone (312) 664-2020

321 N Michigan Ave
Chicago, IL 60601
Phone (312) 263-0222

1826 Highway 160 W
Ste 101
Fort Mill, SC 29708
Phone (803) 650-3080

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1679078430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013707",
            "telephone_number": "312-647-2020",
            "fax_number": "312-263-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7710 Charlotte Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297071016",
            "country_code": "US",
            "telephone_number": "803-769-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLICK",
        "first_name": "HAMMAD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2033",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.