Individual provider Active NPI

Christine Marie Mata, M.D.

  • Ophthalmology Physician
  • Niles, IL
National Provider Identifier
1891099420
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036.135571 Issued in IL
Practice address
7421 N Milwaukee Ave
Niles, IL 60714-3707
Phone
(773) 775-0811
Fax
(773) 819-7013
NPI assigned
Dec 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.135571 IL Primary

Addresses

Primary practice location

7421 N Milwaukee Ave
Niles, IL 60714-3707

Mailing address

7421 N Milwaukee Ave
Niles, IL 60714-3707
Phone (773) 993-0279

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141117001067 IL Practitioner - Ophthalmology 3577785005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sullivan Ostoich Eye Care LTDGroup PAC ID 8527046648, 6 clinicians
Milwaukee Avenue Eye Center, S.C.Group PAC ID 1456489228, 9 clinicians

Practice addresses (Care Compare)

1415 Palatine Rd
Hoffman Estates, IL 60192-1196
Phone (847) 776-8900

7421 N Milwaukee Ave
Niles, IL 60714-3707
Phone (773) 775-0811

Merit-based Incentive Payment System (MIPS)

Final score
89.01 of 100Reported as group
Quality
89.19
Improvement activities
40
Cost
77.77

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as group
Quality
97.68
Improvement activities
40
Cost
79.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery104
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.135571ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Optical, PLLC CurrentSince May 1, 2022 Accepting new patients

Locations

7421 N Milwaukee Ave
Niles, IL 60714
Phone (773) 631-2980

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, 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": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1891099420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143707",
            "telephone_number": "773-993-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143707",
            "telephone_number": "773-775-0811",
            "fax_number": "773-819-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.135571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.