Individual provider Active NPI

Katarzyna M Aleszczyk Varney, O.D

  • Optometrist
  • Chicago, IL
National Provider Identifier
1699114116
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010677 Issued in IL
Practice address
1444 S Michigan Ave
Suite B
Chicago, IL 60605-4827
Phone
(312) 588-5999
Fax
(312) 588-0599
NPI assigned
Jun 18, 2013
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010677 IL Primary

Addresses

Primary practice location

1444 S Michigan Ave
Suite B
Chicago, IL 60605-4827

Mailing address

1444 S Michigan Ave
Suite B
Chicago, IL 60605-4827
Phone (312) 588-5999

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
I20140912001441 IL Practitioner - Optometry 1658590237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolingbrook Eye Care and Eyewear Gallery, LLCGroup PAC ID 4082982988, 2 clinicians
Solo Eye Care and Eyewear Gallery, LLCGroup PAC ID 8123043916, 9 clinicians

Practice addresses (Care Compare)

124 E Boughton Rd
Bolingbrook, IL 60440-2014
Phone (630) 358-4533

1444 S Michigan Ave
Chicago, IL 60605-4827
Phone (312) 588-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bolingbrook Eye Care & Eyewear Gallery, LLC Optometrist CurrentSince May 22, 2017 Accepting new patients
Rasa Eyecare & Vision Group Inc Optometrist PastSince May 22, 2017 Accepting new patients

Locations

124 E Boughton Rd
Bolingbrook, IL 60440
Phone (630) 358-4533

Organizations & group practices 3

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1699114116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S MICHIGAN AVE",
            "address_2": "SUITE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606054827",
            "telephone_number": "312-588-5999",
            "fax_number": "312-588-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S MICHIGAN AVE",
            "address_2": "SUITE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606054827",
            "telephone_number": "312-588-5999",
            "fax_number": "312-588-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESZCZYK VARNEY",
        "first_name": "KATARZYNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.