Individual provider Active NPI

Chelsie Lee Grocholski, OD

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1861876260
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005933 Issued in MI
Practice address
5161 Cardinal Park Dr
Saginaw, MI 48604-9435
Phone
(989) 797-2400
Fax
(989) 249-1035
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010898 IL
Optometrist 152W00000X 4901005933 MI Primary

Addresses

Primary practice location

5161 Cardinal Park Dr
Saginaw, MI 48604-9435

Mailing address

3220 W Armitage Ave Apt 300
Chicago, IL 60647-3797
Phone (773) 661-6615

Other practice location 1

7447 W Talcott Ave
#300
Chicago, IL 60631-3745
Phone (773) 775-0811

Other names 1

  • Chelsie L Rupp Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 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
I20161117001218 IL Practitioner - Optometry 5799064622 Reassigns benefits to 2 organizations
I20260411000068 MI Practitioner - Optometry 5799064622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4196 Scarlet Oak Dr
Saginaw, MI 48603-1158

5161 Cardinal Park Dr
Saginaw, MI 48604-9435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005933MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Eye Care LTD Optometrist CurrentSince Jan 16, 2017 Accepting new patients
Ageless Eye Care P.C. Optometrist CurrentSince Sep 29, 2019 Accepting new patients

Locations

329 W 18th St
Ste 311
Chicago, IL 60616
Phone (312) 952-4847

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1861876260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 W ARMITAGE AVE APT 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473797",
            "telephone_number": "773-661-6615",
            "fax_number": "773-698-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 CARDINAL PARK DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049435",
            "telephone_number": "989-797-2400",
            "fax_number": "989-249-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7447 W Talcott Ave",
            "address_2": "#300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606313745",
            "country_code": "US",
            "telephone_number": "773-775-0811",
            "fax_number": "773-775-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROCHOLSKI",
        "first_name": "CHELSIE",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010898",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSIE",
            "last_name": "RUPP",
            "middle_name": "L",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.