Individual provider Active NPI

Leon J. Kosek, O.D.

  • Optometrist
  • Frankfort, IL
National Provider Identifier
1801834080
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007472 Issued in IL
Practice address
21237 S Lagrange Rd
Frankfort, IL 60423-2046
Phone
(815) 469-8541
Fax
(815) 469-8126
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001974A IN
Optometrist 152W00000X 046007472 IL Primary

Addresses

Primary practice location

21237 S Lagrange Rd
Frankfort, IL 60423-2046

Mailing address

21237 S Lagrange Rd
Frankfort, IL 60423-2046
Phone (815) 469-8541

Other identifiers 1

IdentifierTypeStateIssuer
100086900AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001974AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Clinic LLC Current Accepting new patients
Meus Family Vision Care LLC Optometrist PastSince Jul 17, 2022 Accepting new patients
Franciscan Hammond Clinic LLC Past Accepting new patients

Locations

9800 Valparaiso Dr
Munster, IN 46321
Phone (219) 836-5800

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

11355 W 97th Ln
Saint John, IN 46373
Phone (219) 365-5577

Organizations & group practices 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1801834080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21237 S LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232046",
            "telephone_number": "815-469-8541",
            "fax_number": "815-469-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21237 S LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232046",
            "telephone_number": "815-469-8541",
            "fax_number": "815-469-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSEK",
        "first_name": "LEON",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001974A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100086900A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.