Martin J Sikorski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.006197 Issued in IL

Practice address

440 N Main St
Glen Ellyn, IL 60137-5124

Phone

(630) 469-4141

Fax

(630) 469-2015

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glen Ellyn Vision Center PCGroup PAC ID 9537068333, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.68 of 100Reported as group

Quality

73.36

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martin.sikorski@direct.revolutionehr.com

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.

• Glen Ellyn Vision Center PC

  • Optometrist
  • Glen Ellyn, IL
  • NPI 1588727663
  Medicare reassignment Care Compare group NPD Authorized official
• Glen Ellyn Vision Center PC

  • Optometrist
  • Elgin, IL
  • NPI 1356404354
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1881619427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N MAIN ST",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375124",
            "telephone_number": "630-469-4141",
            "fax_number": "630-469-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MAIN ST",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375124",
            "telephone_number": "630-469-4141",
            "fax_number": "630-469-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORSKI",
        "first_name": "MARTIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.006197",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046.006197",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IL",
            "license": "046.006197",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046.006197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0410007883",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ojas Shah, MD
• Sherri Klis Urso MD SC
• Elizabeth M Showalter, NP
• Melissa Jensen Siavelis, M.S.
• Steven Sigalove, MD
• Dale E Simek, R.PH.
• Kaitlin Dhooghe Sisson, M.S.
• Krisanne Sisto, M.D.
• Skyline Physicians LLC
• Brian A Smart, MD

• Optometrist in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.

Verify at the official NPI Registry.