Individual provider Active NPI

Zachary William Weekes, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1780024091
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010676 Issued in IL
Practice address
4814 N Clark St Unit B
Pearle Vision
Chicago, IL 60640-7767
Phone
(773) 897-0800
NPI assigned
Jul 1, 2013
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010676 IL Primary

Addresses

Primary practice location

4814 N Clark St Unit B
Pearle Vision
Chicago, IL 60640-7767

Mailing address

4814 N Clark St Unit B
Chicago, IL 60640-7767
Phone (773) 897-0800

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
I20210415001867 IL Practitioner - Optometry 2365850161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4814 N Clark St
Unit B
Chicago, IL 60640-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1780024091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 N CLARK ST UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407767",
            "telephone_number": "773-897-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 N CLARK ST UNIT B",
            "address_2": "PEARLE VISION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407767",
            "telephone_number": "773-897-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKES",
        "first_name": "ZACHARY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.