Lawrence John Sajdecki, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

102 Stratford Square Mall
Bloomingdale, IL 60108-2202

Phone

(630) 893-7608

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mink Resources, LTD.

  dba Pearle Vision

  • Optometrist
  • Yorkville, IL
  • NPI 1922159060
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689723884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 MOORLAND AVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604318613",
            "telephone_number": "815-774-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 STRATFORD SQUARE MALL",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082202",
            "telephone_number": "630-893-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJDECKI",
        "first_name": "LAWRENCE",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryndak Physical Therapy, LTD.
• Muhammad Saafir, M.D.
• Sabrina Massey Therapy PLLC
• Haleema Sadath, M.D.
• Elise Saddleton, M.D.
• Jenna Rose Salemi
• Lisa M Salvadore, LCSW, CADC
• Tracey Salvatore, LCSW
• Reinaldo Sanchez, MD
• Tiffany Sanchez, MA, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.