Individual provider Active NPI

Yair Shlomo Elias, OD

  • Optometrist
  • Lincolnwood, IL
National Provider Identifier
1841501194
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003626A Issued in IN
Practice address
3368 W Devon Ave
Lincolnwood, IL 60712-1317
Phone
(773) 764-5300
Fax
(847) 983-8071
NPI assigned
Jul 1, 2010
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003626A IN Primary

Addresses

Primary practice location

3368 W Devon Ave
Lincolnwood, IL 60712-1317

Mailing address

3368 W Devon Ave
Lincolnwood, IL 60712-1317
Phone (773) 764-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101119000365 IN Practitioner - Optometry 7214123074 Reassigns benefits to 1 organization
I20210819000736 IL Practitioner - Optometry 7214123074 Reassigns benefits to 3 organizations
I20260214000702 WI Practitioner - Optometry 7214123074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ovitsky Vision Care of Wisconsin LTDGroup PAC ID 4082964499, 6 clinicians
Ovitsky Vision Care of Indiana PCGroup PAC ID 3779830278, 3 clinicians
Eye on Devon IncGroup PAC ID 5799218483, 2 clinicians
Charles S Ovitsky PCGroup PAC ID 7012175102, 14 clinicians

Practice addresses (Care Compare)

11414 W Park PL
Suite 202
Milwaukee, WI 53224-3500
Phone (773) 588-3090

1532 Calumet Ave
Dyer, IN 46311-1588
Phone (773) 588-3090

3368 W Devon Ave
Lincolnwood, IL 60712-1317
Phone (773) 764-5300

3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3307
Phone (773) 588-3090

Merit-based Incentive Payment System (MIPS)

Final score
97.24 of 100Reported as group
Quality
74.48
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye on Devon Inc. Optometrist CurrentSince Jun 24, 2024 Accepting new patients
Charles S Ovitsky PC Optometrist CurrentSince Jan 13, 2022 Accepting new patients
Ovitsky Vision Care of Wisconsin LTD Optometrist CurrentSince Jan 5, 2026 Accepting new patients
Ovitsky Vision Care of Indiana PC Optometrist CurrentSince May 1, 2022 Accepting new patients

Locations

3500 W Peterson Ave
Ste 401
Chicago, IL 60659

3368 W Devon Ave
Lincolnwood, IL 60712
Phone (773) 764-5300

1000 Palm Ave
Mattoon, IL 61938
Phone (217) 234-7403

350 W South 1st St
Red Bud, IL 62278
Phone (618) 282-3891

1100 S Lewis Ave
Waukegan, IL 60085
Phone (847) 244-8196

11414 W Park Pl
Ste 202
Milwaukee, WI 53224
Phone (414) 292-7060

Organizations & group practices 5

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1841501194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 W DEVON AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121317",
            "telephone_number": "773-764-5300",
            "fax_number": "847-983-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 W DEVON AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121317",
            "telephone_number": "773-764-5300",
            "fax_number": "847-983-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "YAIR",
        "middle_name": "SHLOMO",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003626A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.