Active NPI
Anthony Pete Tsiftilis, O.D.
- Optometrist
- Sycamore, IL
National Provider Identifier
1740305366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-008933
- Practice address
- 2127 Midlands CT.
Unit 101
Sycamore, IL 60178 - Phone
- (815) 756-4244
- NPI assigned
- Mar 20, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 046-008933 | IL | |
| Optometrist | 152W00000X | 046-008933 | IL | Primary |
| Pediatric Optometrist | 152WP0200X | 046-008933 | IL | |
| Vision Therapy Optometrist | 152WV0400X | 046-008933 | IL | |
| Occupational Vision Optometrist | 152WX0102X | 046-008933 | IL |
Addresses
Primary practice location
2127 Midlands CT.
Unit 101
Sycamore, IL 60178
Mailing address
178 Quinlan Ave
Dekalb, IL 60115-8209
Phone (815) 739-5709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046-008933 | Other | IL | STATE O.D. LICENSE NO. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2127 Midlands CT
Suite 101
Sycamore, IL 60178-3173
Phone (815) 756-4244
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-008933 | IL | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Q Vision, Inc | Optometrist | Current | Accepting new patients |
| Miller Eye Center LTD | Past | Accepting new patients |
Locations
2127 Midlands Ct
Unit 101
Sycamore, IL 60178
Phone (815) 756-4244
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 and National Provider Directory roles.
-
- Optometrist
- Sycamore, IL
- NPI 1487958476
-
- Eyewear Supplier
- Rockford, IL
- NPI 1619063013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1740305366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 QUINLAN AVE",
"city": "DEKALB",
"state": "IL",
"postal_code": "601158209",
"telephone_number": "815-739-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 MIDLANDS CT.",
"address_2": "UNIT 101",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "60178",
"telephone_number": "815-756-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSIFTILIS",
"first_name": "ANTHONY",
"middle_name": "PETE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IL",
"license": "046-008933",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-008933",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "IL",
"license": "046-008933",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "IL",
"license": "046-008933",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "IL",
"license": "046-008933",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE O.D. LICENSE NO.",
"identifier": "046-008933",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.