Individual provider Active NPI

Marianna Bilis, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1912976044
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008924 Issued in IL
Practice address
3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3306
Phone
(773) 588-3090
Fax
(773) 588-3210
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008924 IL Primary

Addresses

Primary practice location

3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3306

Mailing address

3917 Charlie CT
Glenview, IL 60026
Phone (773) 792-1011

Other identifiers 2

IdentifierTypeStateIssuer
046008924MedicaidIL
P00210269OtherILRAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000255 IL Practitioner - Optometry 6204877723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles S Ovitsky PCGroup PAC ID 7012175102, 14 clinicians

Practice addresses (Care Compare)

2155 Pfingsten Rd
Northbrook, IL 60062-6427
Phone (847) 480-6350

3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3307
Phone (773) 588-3090

Merit-based Incentive Payment System (MIPS)

Final score
97.24 of 100Reported as group
Quality
74.48
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008924ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles S Ovitsky PC Optometrist CurrentSince Jan 1, 2012 Accepting new patients
Senior Eye Associates SC Optometrist PastSince Jul 9, 2007 Accepting new patients

Locations

101 S Belt W
Belleville, IL 62220
Phone (618) 227-2700

133 Mohawk Dr
Bourbonnais, IL 60914
Phone (815) 936-6240

3500 W Peterson Ave
Chicago, IL 60659

3500 W Peterson Ave
Ste 401
Chicago, IL 60659

3500 W Peterson Ave
Ste 40
Chicago, IL 60659

1101 E State St
Geneva, IL 60134
Phone (630) 208-1876

1000 Palm Ave
Mattoon, IL 61938
Phone (217) 234-7403

350 W South 1st St
Red Bud, IL 62278
Phone (618) 282-3891

1100 S Lewis Ave
Waukegan, IL 60085
Phone (847) 244-8196

Interoperability endpoints

  • Direct secure messaging: marianna.bilis@direct.revolutionehr.com

Organizations & group practices 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1912976044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 CHARLIE CT",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "773-792-1011",
            "fax_number": "773-889-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W PETERSON AVE",
            "address_2": "SUITE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593306",
            "telephone_number": "773-588-3090",
            "fax_number": "773-588-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILIS",
        "first_name": "MARIANNA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008924",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00210269",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.