Individual provider Active NPI

Joseph Zaker, OD

  • Optometrist
  • Hickory Hills, IL
National Provider Identifier
1942407994
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.009992 Issued in IL
Practice address
9602 S Roberts Rd
Ste. 6
Hickory Hills, IL 60457-2238
Phone
(708) 237-2020
Fax
(708) 237-2210
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009992 IL Primary

Addresses

Primary practice location

9602 S Roberts Rd
Ste. 6
Hickory Hills, IL 60457-2238

Mailing address

9602 S Roberts Rd
Ste. 6
Hickory Hills, IL 60457-2238
Phone (708) 237-2020

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
I20071016000290 IL Practitioner - Optometry 8426144890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Center, Inc.Group PAC ID 6800088568, 2 clinicians

Practice addresses (Care Compare)

9602 S Roberts Rd
Hickory Hills, IL 60457-2238
Phone (708) 237-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.009992ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Center, Inc. CurrentSince Apr 1, 2013 Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients

Locations

9602 S Roberts Rd
Ste 6
Hickory Hills, IL 60457
Phone (708) 237-2020

9602 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 237-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1942407994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 S ROBERTS RD",
            "address_2": "STE. 6",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572238",
            "telephone_number": "708-237-2020",
            "fax_number": "708-237-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 S ROBERTS RD",
            "address_2": "STE. 6",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572238",
            "telephone_number": "708-237-2020",
            "fax_number": "708-237-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKER",
        "first_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

Verify at the official NPI Registry.