Kirk P Pavletic OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-007849 Issued in IL

Legal business name

KIRK P PAVLETIC OD PC

Practice address

10739 W 159TH St
Orland Park, IL 60467-4531

Phone

(708) 403-7711

NPI assigned

Dec 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kirk Patrick Pavletic, O.D.NPI 1831269653

Title

President

Phone

(708) 403-7711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk Patrick Pavletic, OD

  • Optometrist
  • Orland Park, IL
  • NPI 1831269653
  Medicare reassignment Care Compare group Authorized official
• Shereen Rammaha

  • Optometrist
  • Orland Park, IL
  • NPI 1871319749
  Medicare reassignment Care Compare group NPD
• Luke Ew Neuenfeldt, OD

  • Optometrist
  • Orland Park, IL
  • NPI 1942853700
  Medicare reassignment Care Compare group
• Gabriela Pavletic, OD

  • Optometrist
  • Orland Park, IL
  • NPI 1679197826
  Medicare reassignment Care Compare group
• John Eric Anderson, O.D.

  • Optometrist
  • La Grange, IL
  • NPI 1164550596
  NPD (past)

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1881962371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10739 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-403-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-403-7711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 W Burlington Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "IL",
            "postal_code": "605252120",
            "country_code": "US",
            "telephone_number": "708-403-7711",
            "fax_number": "708-403-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIRK P PAVLETIC OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "PAVLETIC",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-403-7711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn M King Panepinto, LCSW
• Jennifer King, MPT
• Lauren S King
• Kingsbury Randolph LLC
• Kirk Clinic
• Frank Kirk, D.O.
• Michael E Kirsch, DDS
• Michael Edward Kirsch Jr., D.D.S.
• Jannette Klepek, DO
• Renee Klimala

• Optometrist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.