Sylwia Prorok, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011808 Issued in IL

Practice address

5915 E Riverside Blvd
Rockford, IL 61114-4935

Phone

(815) 963-2020

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Rockford Eye Care LLCGroup PAC ID 4981744380, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Rockford Eye Care LLC

  • Optometrist
  • Rockford, IL
  • NPI 1598994295
  Medicare reassignment Care Compare group NPD
• Visionworks Inc

  dba Visionworks

  • Eyewear Supplier
  • Omaha, NE
  • NPI 1205924792
  NPD (past)

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1972385938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 PAINE ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773225",
            "telephone_number": "847-915-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144935",
            "telephone_number": "815-963-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROROK",
        "first_name": "SYLWIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Hearing Centers, Inc (Professional Hearing Health Centers)
• Progress Mental Health LLC
• Prohealth Pharmacy LLC
• Hunter Joseph Promer, DO
• Promotion Service LLC
• Camilla Provencher, RDN
• Margaret Provenza
• Ian Victor Provo
• Landon S Pryor, M.D.
• Daniel Psaltis, DC

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.