Individual provider Active NPI

Christine Michelle Janikowski, O.D.

  • Optometrist
  • Woodstock, IL
National Provider Identifier
1952454902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
591 S Eastwood Dr
Woodstock, IL 60098-4631
Phone
(815) 338-0107
Fax
(815) 338-5104
NPI assigned
Jan 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

591 S Eastwood Dr
Woodstock, IL 60098-4631

Mailing address

1570 Yosemite Pkwy
Algonquin, IL 60102-4211
Phone (847) 658-9888

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
I20090512000038 IL Practitioner - Optometry 6800944372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians

Practice addresses (Care Compare)

500 Coventry LN
Suite 200
Crystal Lake, IL 60014-7599
Phone (815) 459-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009113ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Jan 4, 2026 Accepting new patients
Visionworks, Inc CurrentSince Sep 1, 2019 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

500 Coventry Ln
Ste 200
Crystal Lake, IL 60014
Phone (815) 459-5433

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

Organizations & group practices 4

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": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952454902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 YOSEMITE PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024211",
            "telephone_number": "847-658-9888",
            "fax_number": "815-338-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 S EASTWOOD DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600984631",
            "telephone_number": "815-338-0107",
            "fax_number": "815-338-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIKOWSKI",
        "first_name": "CHRISTINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.