Organization Active NPI

Visionary Eye Care Professionals PC

  • Optometrist
  • Chicago, IL
National Provider Identifier
1790881985
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3666-7056 Issued in IL
Legal business name
VISIONARY EYE CARE PROFESSIONALS PC
Practice address
181 W Madison St
Suite 125
Chicago, IL 60602-4510
Phone
(312) 201-8989
Fax
(301) 201-8984
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Dr. Michael Cizsek, OD
Title
Co-Owner
Phone
(312) 201-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3666-7056 IL Primary

Addresses

Primary practice location

181 W Madison St
Suite 125
Chicago, IL 60602-4510

Mailing address

181 W Madison St
Suite 125
Chicago, IL 60602-4510
Phone (312) 201-8989

Other names 1

  • Visionary Eye Care Professionals Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170119002888 IL Part B Supplier - Clinic/Group Practice 2860774296 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Chicago, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

181 W Madison St
Lbby 125
Chicago, IL 60602
Phone (312) 201-8989

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1790881985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MADISON ST",
            "address_2": "SUITE 125",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024510",
            "telephone_number": "312-201-8989",
            "fax_number": "301-201-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MADISON ST",
            "address_2": "SUITE 125",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024510",
            "telephone_number": "312-201-8989",
            "fax_number": "301-201-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYE CARE PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "CIZSEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "312-201-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "3666-7056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Eye Care Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2017; 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.

Verify at the official NPI Registry.