Active NPI
Multack Eye Care, S.C
- Ophthalmology Physician
- Olympia Fields, IL
National Provider Identifier
1851655989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MULTACK EYE CARE, S.C
- Practice address
- 20303 Crawford Ave
Suite LL1
Olympia Fields, IL 60461-1073 - Phone
- (708) 955-9278
- Fax
- (708) 898-1860
- NPI assigned
- Jul 4, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sam Multack, D.O
- Title
- President
- Phone
- (708) 955-9278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
20303 Crawford Ave
Suite LL1
Olympia Fields, IL 60461-1073
Mailing address
20303 Crawford Ave
Suite LL1
Olympia Fields, IL 60461-1073
Phone (708) 955-9278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2074677 | Multack Eye Care S C | Certificate of waiver | Mar 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
20303 Crawford Ave
Ste LL1
Olympia Flds, IL 60461
Phone (708) 898-1858
Interoperability endpoints
- ksangal@mecvision.intellechartdirect.net
- jgilbertson@mecvision.intellechartdirect.net
- jjankiewicz@mecvision.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Homewood, IL
- NPI 1992809941
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1700047222
-
- Optometrist
- Frankfort, IL
- NPI 1225773039
-
- Optometrist
- Chicago, IL
- NPI 1821656273
-
- Optometrist
- Elgin, IL
- NPI 1306288022
-
- Ophthalmology Physician
- Olympia Fields, IL
- NPI 1467866228
-
- Ophthalmology Physician
- Olympia Fields, IL
- NPI 1619135233
-
- Optometrist
- Olympia Fields, IL
- NPI 1568717023
-
- Ophthalmology Physician
- Hines, IL
- NPI 1730271982
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1841494416
-
- Ophthalmology Physician
- Olympia Fields, IL
- NPI 1528172954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341360000000",
"number": "1851655989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20303 CRAWFORD AVE",
"address_2": "SUITE LL1",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611073",
"telephone_number": "708-955-9278",
"fax_number": "708-898-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20303 CRAWFORD AVE",
"address_2": "SUITE LL1",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611073",
"telephone_number": "708-955-9278",
"fax_number": "708-898-1860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTACK EYE CARE, S.C",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-04",
"last_updated": "2012-07-04",
"status": "A",
"authorized_official_last_name": "MULTACK",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-955-9278",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.