Individual provider Active NPI

Katarina Ivanovic

  • Optometrist
  • Chicago, IL
National Provider Identifier
1861272916
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011802 Issued in IL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240110002417 IN Practitioner - Optometry 6002267499 Reassigns benefits to 2 organizations
I20240122003757 IL Practitioner - Optometry 6002267499 Reassigns benefits to 3 organizations

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
HTNB LLCGroup PAC ID 8729241088, 4 clinicians
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

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

LicenseStateTypeSpecialty
046.011802ILMDOptometrist
18004456AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Feb 14, 2026 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 15, 2025 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Feb 14, 2026 Accepting new patients
HTNB LLC Optometrist CurrentSince Dec 11, 2023 Accepting new patients
NBHT Indiana Optometrist CurrentSince Dec 1, 2023 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Dec 15, 2025 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 PastSince Dec 1, 2023 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.

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

Verify at the official NPI Registry.