Organization Active NPI

Richard E. Wojcik,O.D., P.C.

  • Optometrist
  • Romeoville, IL
National Provider Identifier
1861662934
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046006792 Issued in IL
Legal business name
RICHARD E. WOJCIK,O.D., P.C.
Practice address
330 Spangler Rd
Romeoville, IL 60446-1840
Phone
(815) 886-0800
Fax
(815) 886-4493
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Dr. Richard E. Wojcik, O.D.
Title
Optometrist/Owner
Phone
(815) 886-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046006792 IL Primary

Addresses

Primary practice location

330 Spangler Rd
Romeoville, IL 60446-1840

Mailing address

330 Spangler Rd
Romeoville, IL 60446-1840
Phone (815) 886-0800

Other identifiers 5

IdentifierTypeStateIssuer
046006792MedicaidIL
0611780002OtherDMERC MIDLOTHIAN
1366681017OtherMIDLOTHIAN NPI
IL1970OtherILCMS PTAN
046-006792OtherILL.LISCENSE

Other names 1

  • The Eye Doc Doing business as

National Provider Directory

National Provider Directory

Locations

330 Spangler Rd
Romeoville, IL 60446
Phone (815) 866-0800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1861662934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SPANGLER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461840",
            "telephone_number": "815-886-0800",
            "fax_number": "815-886-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SPANGLER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461840",
            "telephone_number": "815-886-0800",
            "fax_number": "815-886-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. WOJCIK,O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "815-886-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006792",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC MIDLOTHIAN",
            "identifier": "0611780002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLOTHIAN NPI",
            "identifier": "1366681017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS PTAN",
            "identifier": "IL1970",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILL.LISCENSE",
            "identifier": "046-006792",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.