Vesna Simic, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009401 Issued in IL

Practice address

775 Waukegan Rd
Suite 170
Deerfield, IL 60015-4342

Phone

(847) 607-9225

Fax

(847) 940-0543

NPI assigned

Feb 17, 2007

Last updated

Jul 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Ridge Vision LLCGroup PAC ID 1052646437, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Park Ridge Vision LLC

  dba Park Ridge Vision

  • Optometrist
  • Park Ridge, IL
  • NPI 1225697675
  Medicare reassignment Care Compare group NPD
• Vesna Simic, Inc.

  • Optometrist
  • Deerfield, IL
  • NPI 1881992469
  NPD (past) Authorized official
• Ej Vision, Inc.

  dba Falcon Eye Care

  • Optician
  • Deerfield, IL
  • NPI 1255589222
  NPD (past)
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  NPD (past)
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1912041468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6652 N CENTRAL PARK AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123702",
            "telephone_number": "847-673-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WAUKEGAN RD",
            "address_2": "SUITE 170",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154342",
            "telephone_number": "847-607-9225",
            "fax_number": "847-940-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMIC",
        "first_name": "VESNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA & DPA STATE LICENCE",
            "identifier": "046009401",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis B Siegel, MA SLP
• Yelena Silber, PHARM D
• Mallory Silberman, LCSW
• Silver Lining Care LLC (Silver Lining Behavioral Health)
• Burton E Silver, M.D.
• Michael Joseph Simko
• Nicholas Simon, PHARMD
• Divya Singh-Behl, MD
• Hillary Sluga
• Smile on of North Shore, PC

• Optometrist in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.