Active NPI
Katarina Ivanovic
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011802
- Practice address
- 3053 N Sheffield Ave
Chicago, IL 60657-4419 - Phone
- (773) 360-8900
- Fax
- (773) 697-8474
- NPI assigned
- Oct 4, 2023
- Last updated
- Nov 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004456A | IN | |
| Optometrist | 152W00000X | 046.011802 | IL | Primary |
Addresses
Primary practice location
3053 N Sheffield Ave
Chicago, IL 60657-4419
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other practice location 1
8319 Wicker Ave
Saint John, IN 46373-8879
Phone (219) 228-1776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 S Peoria St
Chicago, IL 60607-2628
Phone (312) 432-0080
3053 N Sheffield Ave
Chicago, IL 60657-4419
Phone (773) 360-8900
3902 E 82ND St
Indianapolis, IN 46240-2467
Phone (317) 595-8855
5408 N Clark St
Chicago, IL 60640-1210
Phone (773) 275-2020
8319 Wicker Ave
Saint John, IN 46373-8879
Phone (219) 228-1776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011802 | IL | MD | Optometrist |
| 18004456A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| HTNB LLC | Optometrist | Current | Accepting new patients |
| NBHT Indiana | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Past | Accepting new patients |
| Vision Boutique, Inc. | Optometrist | Past | Accepting new patients |
Locations
14 S Peoria St
Chicago, IL 60607
Phone (312) 432-0080
3053 N Sheffield Ave
Chicago, IL 60657
Phone (773) 360-8900
3929 N Western Ave
Ste 1S
Chicago, IL 60618
Phone (773) 828-5873
5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020
942 W Madison St
Chicago, IL 60607
Phone (312) 829-6800
2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533
9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200
3902 E 82nd St
Indianapolis, IN 46240
Phone (317) 595-8855
9410 Calumet Ave
Ste 103A
Munster, IN 46321
Phone (219) 728-4452
8319 Wicker Ave
Saint John, IN 46373
Phone (219) 228-1776
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 10
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.
-
- Optometrist
- Chicago, IL
- NPI 1154297752
-
- Optometrist
- Indianapolis, IN
- NPI 1447130919
-
- Optometrist
- Munster, IN
- NPI 1922974526
-
- Optometrist
- Chicago, IL
- NPI 1689732232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1861272916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3053 N SHEFFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574419",
"telephone_number": "773-360-8900",
"fax_number": "773-697-8474"
}
],
"practiceLocations": [
{
"address_1": "8319 Wicker Ave",
"address_purpose": "LOCATION",
"city": "Saint John",
"state": "IN",
"postal_code": "463738879",
"country_code": "US",
"telephone_number": "219-228-1776",
"fax_number": "219-558-0672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVANOVIC",
"first_name": "KATARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-04",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004456A",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.