Organization Active NPI

Pikus Eye Care, LTD

  • Optometrist
  • Libertyville, IL
National Provider Identifier
1841543295
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009509 Issued in IL
Legal business name
PIKUS EYE CARE, LTD
Practice address
1449 Peterson Rd
Libertyville, IL 60048-1001
Phone
(847) 281-7306
Fax
(847) 281-7406
NPI assigned
Oct 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Dr. Svetlana Farbman Pikus, O.D.NPI 1235206517
Title
Optometrist
Phone
(847) 566-5137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-009509 IL Primary

Addresses

Primary practice location

1449 Peterson Rd
Libertyville, IL 60048-1001

Mailing address

1449 Peterson Rd
Libertyville, IL 60048-1001
Phone (847) 281-7306

Other identifiers 1

IdentifierTypeStateIssuer
046009509MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140729001254 IL Part B Supplier - Clinic/Group Practice 0345466264 Receives reassigned benefits from 1 practitioner
Practice locations: Libertyville, IL

National Provider Directory

National Provider Directory

Locations

1449 Peterson Rd
Libertyville, IL 60048
Phone (847) 281-7306

1429 Peterson Rd
Libertyville, IL 60048
Phone (773) 443-2040

Practitioners & affiliated clinicians

Practitioners 1

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": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1841543295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481001",
            "telephone_number": "847-281-7306",
            "fax_number": "847-281-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 PETERSON RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481001",
            "telephone_number": "847-281-7306",
            "fax_number": "847-281-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKUS EYE CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "PIKUS",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_middle_name": "FARBMAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-566-5137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009509",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.