Active NPI
Leszek Zenon Paczkowski, O.D.
- Optometrist
- Willowbrook, IL
National Provider Identifier
1942248562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 6300 Kingery Hwy Ste 116
Willowbrook, IL 60527-2250 - Phone
- (630) 323-0222
- NPI assigned
- Jun 4, 2006
- Last updated
- Dec 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Primary |
Addresses
Primary practice location
6300 Kingery Hwy Ste 116
Willowbrook, IL 60527-2250
Mailing address
6300 Kingery Hwy #116
Willowbrook, IL 60527-2250
Phone (630) 323-0222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046006890 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Care Center, LTD. | Optometrist | Past | Accepting new patients |
| L.Z. Paczkowski O.D., P.C. | Optometrist | Past | Accepting new patients |
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, 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": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1942248562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 KINGERY HWY #116",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272250",
"telephone_number": "630-323-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 KINGERY HWY STE 116",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272250",
"telephone_number": "630-323-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACZKOWSKI",
"first_name": "LESZEK",
"middle_name": "ZENON",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willowbrook, IL
- Beverly Eleanor Orwat, OTR/L
- Chad R Osborne, PT
- Osteopathic Manipulative Healthcare, S.C. (Chicago Osteopathic Healthcare, S.C.)
- Osteopathic Sports Medicine, S.C. (Chicago Osteopathic Health Care)
- Sam-Uche Ozokwo, PTA
- Nalda Helen Page
- Pai Participant 27, PC
- D. Anaya Palay, L.AC.
- Daniel Elias Palos, LCMT
- Panicker Internal Medicine Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.