Glen Ellyn Vision Center PC
NPI 1588727663ActiveOrganization· Optometrist· Glen Ellyn, IL
Optometrist in Glen Ellyn, Illinois, registered in NPPES in December 2006. The authorized official on file is Martin J. Sikorski, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588727663 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2006 |
| Last updated in NPPES | May 18, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046.006197 | IL |
| Optometrist, Corneal and Contact Management | 152WC0802X | 046.006197 | IL |
| Optometrist, Pediatrics | 152WP0200X | 046.006197 | IL |
| Optometrist, Vision Therapy | 152WV0400X | 046.006197 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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