Richard Joseph Surowiak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008545 Issued in IL

Practice address

6314 Northwest Hwy
Crystal Lake, IL 60014-7935

Phone

(815) 459-4074

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vep Il Optometric LLCGroup PAC ID 3678814217, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vep Il Optometric LLC

  • Optometrist
  • Bloomington, IL
  • NPI 1528536620
  Medicare reassignment Care Compare group NPD
• Crystal Lake Optical Inc.

  • Optometrist
  • Crystal Lake, IL
  • NPI 1124269030
  NPD (past) Authorized official
• Idoc Inc.

  dba Chicago Eye Center

  • Optometrist
  • Bellwood, IL
  • NPI 1255532248
  NPD (past)
• Oneopto Il 2 PLLC

  dba All About Eyes

  • Optometrist
  • Bloomington, IL
  • NPI 1003788431
  NPD (past)
• Uhlemann Optical Company

  • Technician/Technologist
  • Crystal Lake, IL
  • NPI 1518083427

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811040983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 PINNACLE CT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605028655",
            "telephone_number": "630-747-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 NORTHWEST HWY",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147935",
            "telephone_number": "815-459-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUROWIAK",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Sumpter, L.C.S.W.
• Xuefan Sun, PHARMD
• Superior Health and Wellness of Crystal Lake, LTD.
• Sean Mark Labastida Superticioso, PT
• Nicolette Surico, LCPC
• Susan J. Coe, PHD., P.C.
• Hunter Sussky
• Sharon Ruth Swan, L.P.N.
• Swank Therapy LLC
• Alex Kazimier Swanson, DC

• Optometrist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.