Elizabeth Kilner Wickware, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011209 Issued in IL

Practice address

25 E. Washington Street
Suite 606
Chicago, IL 60602

Phone

(312) 444-1111

Fax

(312) 444-1953

NPI assigned

Jul 9, 2010

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

Other identifiers 1

Other names 1

• Elizabeth Laura Kilner Former name

Medicare fee-for-service enrollment

Enrolled in NC, IL2 enrollments

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 2

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kraff Eye Institute LTDGroup PAC ID 7618016304, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.76 of 100Reported as group

Quality

95.52

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.kilnerwickware.p1@direct.midwesternuniversity.nextgenshare.com

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.

• Kraff Eye Institute, LTD.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1578519179
  Medicare reassignment Care Compare group NPD
• Wake Family Eye Care OD, PA

  • Optometrist
  • Cary, NC
  • NPI 1588080436
  Medicare reassignment NPD
• Caryn Orlin-Kraff, M.D.,LTD.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1689952814
  NPD
• Midwestern University

  • Clinic/Center
  • Downers Grove, IL
  • NPI 1538445317
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1992017693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E. WASHINGTON STREET",
            "address_2": "SUITE 606",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-444-1111",
            "fax_number": "312-444-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E. WASHINGTON STREET",
            "address_2": "SUITE 606",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-444-1111",
            "fax_number": "312-444-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKWARE",
        "first_name": "ELIZABETH",
        "middle_name": "KILNER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0935B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KILNER",
            "middle_name": "LAURA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carly Wicks, LCSW
• Jennifer Susan Wicks, M.D.
• Nicole Wicks, MA, LPC
• Sheila Michelle Wicks, BSC MS MB,MBA,LAC
• Jancey Lee Wickstrom, MA, LCSW
• Lauren Elizabeth Widaman
• Thomas A Widell, M.D.
• Ronald Roger Widen, DDS
• Shanna Marie Widera, RN, APN
• Abbie Claire Widing, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.