Individual provider Active NPI

Jennifer Mary Sitko, OD

  • Optometrist
  • Crown Point, IN
National Provider Identifier
1962060004
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004157A Issued in IN
Practice address
321 N Main St
Crown Point, IN 46307-3250
Phone
(219) 663-5960
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004157A IN Primary

Addresses

Primary practice location

321 N Main St
Crown Point, IN 46307-3250

Mailing address

835 N Cass St
Wabash, IN 46992-1613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190715001049 IN Practitioner - Optometry 8325373269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

13197 State Rd
Suite 23
Granger, IN 46530-9225
Phone (574) 247-1500

Merit-based Incentive Payment System (MIPS)

Final score
55.99 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
78.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Midwest Eye Consultants, P.C. Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Midwest Eye Consultants P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

374 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 395-1575

321 N Main St
Crown Point, IN 46307
Phone (219) 663-5960

321 N Main St
#31
Crown Point, IN 46307
Phone (216) 663-5960

13197 State Road 23
Granger, IN 46530
Phone (574) 247-1500

301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923

301 J St
Laporte, IN 46350
Phone (219) 326-9569

2317 Franklin St
Michigan City, IN 46360
Phone (219) 874-3211

837 N Cass St
Wabash, IN 46992
Phone (888) 664-6148

Organizations & group practices 6

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1962060004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N CASS ST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073250",
            "telephone_number": "219-663-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITKO",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004157A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.