Individual provider Active NPI

Mark L Skowron, OD

  • Optometrist
  • Elmhurst, IL
National Provider Identifier
1780685552
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007453 Issued in IL
Practice address
370 N York St
Elmhurst, IL 60126-2320
Phone
(630) 834-6244
Fax
(630) 834-2209
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046007453 IL Primary

Addresses

Primary practice location

370 N York St
Elmhurst, IL 60126-2320

Mailing address

370 N York St
Elmhurst, IL 60126-2320
Phone (630) 834-6244

Other identifiers 1

IdentifierTypeStateIssuer
410040179OtherILMEDICARE RAILROAD

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
I20080502000319 IL Practitioner - Optometry 3274612239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark L Skowron PCGroup PAC ID 4082793047, 5 clinicians

Practice addresses (Care Compare)

370 N York St
Elmhurst, IL 60126-2320
Phone (630) 834-6244

Merit-based Incentive Payment System (MIPS)

Final score
93.87 of 100Reported as individual
Quality
87.74
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007453ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark L. Skowron PC Optometrist CurrentSince Dec 31, 1992 Accepting new patients
United Eye Care Providers, LLC Optometrist PastSince Jan 1, 2014 Accepting new patients

Locations

370 N York St
Elmhurst, IL 60126
Phone (630) 834-6244

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1780685552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262320",
            "telephone_number": "630-834-6244",
            "fax_number": "630-834-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262320",
            "telephone_number": "630-834-6244",
            "fax_number": "630-834-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOWRON",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410040179",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.