Active NPI
Sullivan Ostoich Eye Care LTD
- Ophthalmology Physician
- Chicago, IL
National Provider Identifier
1760604425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SULLIVAN OSTOICH EYE CARE LTD
- Practice address
- 7447 W Talcott Ave
#300
Chicago, IL 60631-3745 - Phone
- (773) 631-2980
- Fax
- (773) 631-2842
- NPI assigned
- May 3, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent G Ostoich, OD
- Title
- Physician Owner
- Phone
- (773) 631-2980
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | ||
| Ophthalmology Physician | 207W00000X | IL | Primary |
Addresses
Primary practice location
7447 W Talcott Ave
#300
Chicago, IL 60631-3745
Mailing address
7447 W Talcott Ave
#300
Chicago, IL 60631-3745
Phone (773) 631-2980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040713001258 | IL | Part B Supplier - Clinic/Group Practice | 8527046648 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hoffman Estates, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ophthalmology Physician
- Hoffman Estates, IL
- NPI 1598809659
O20040713001258
National Provider Directory
National Provider Directory- Tax ID family
- Sullivan Ostoich Eye Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Hoffman Estates, IL
- NPI 1598809659
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Hoffman Estates, IL
- NPI 1083503197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1760604425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "#300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-631-2980",
"fax_number": "773-631-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "#300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-631-2980",
"fax_number": "773-631-2842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SULLIVAN OSTOICH EYE CARE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "OSTOICH",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "773-631-2980",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.