Individual provider Active NPI

Elizabeth Saxton-Williams, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1750467858
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009866 Issued in IL
Practice address
4115 N Lincoln Ave
Chicago, IL 60618-3131
Phone
(773) 360-8671
NPI assigned
Oct 31, 2006
Last updated
Jan 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009866 IL Primary

Addresses

Primary practice location

4115 N Lincoln Ave
Chicago, IL 60618-3131

Mailing address

1926 W Irving Park Road
Chicago, IL 60613
Phone (773) 525-0952

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
I20061221000464 IL Practitioner - Optometry 2466452487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4115 N Lincoln Ave
Chicago, IL 60618-3131
Phone (773) 360-8671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009866ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Second City Eye Care LLC Optometrist CurrentSince Dec 30, 2017 Accepting new patients

Organizations & group practices 1

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1750467858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W IRVING PARK ROAD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60613",
            "telephone_number": "773-525-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183131",
            "telephone_number": "773-360-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXTON-WILLIAMS",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.