Individual provider Active NPI

Marnee C Velick, O.D

  • Optometrist
  • Chicago, IL
National Provider Identifier
1760677066
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008939 Issued in IL
Practice address
5408 N Clark St
Chicago, IL 60640-1210
Phone
(773) 275-2020
NPI assigned
Sep 10, 2007
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008939 IL Primary

Addresses

Primary practice location

5408 N Clark St
Chicago, IL 60640-1210

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442

Other identifiers 4

IdentifierTypeStateIssuer
211019OtherILMEDICARE GROUP
7235044OtherILAETNA
8825444OtherIDMULTIPLAN
1636706OtherILBCBS

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
I20071026000736 IL Practitioner - Optometry 6507953205 Reassigns benefits to 1 organization

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
Group practices

Practice addresses (Care Compare)

910 Green Bay Rd
Winnetka, IL 60093-1719
Phone (847) 999-0234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Feb 29, 2016 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Feb 29, 2016 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

2000 Central St
Evanston, IL 60201
Phone (847) 864-0300

522 Dempster St
Evanston, IL 60202
Phone (847) 864-5200

146 Center St
Ste 200
Grayslake, IL 60030
Phone (773) 736-6800

463 Central Ave
Highland Park, IL 60035
Phone (847) 266-6400

910 Green Bay Rd
Winnetka, IL 60093
Phone (636) 399-5826

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 4

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": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1760677066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401210",
            "telephone_number": "773-275-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELICK",
        "first_name": "MARNEE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "211019",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7235044",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "8825444",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1636706",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.