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DR. SUSANA TOLEDO O.D.
NPI 1316376825
Optometrist in Chicago, IL

Active since November 05, 2013PECOS Enrolled
5718 W 63RD ST, CHICAGO, IL 60638(773) 498-2985(773) 498-6042 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susana Toledo O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSANA TOLEDO O.D. (NPI 1316376825) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046.010752) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316376825
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SUSANA TOLEDOCredential: O.D.
Location Address5718 W 63RD STChicago, IL 60638-5508
Mailing Address5718 W 63rd StChicago, IL 60638-5508 · (773) 498-2985 · Fax (773) 498-6042
Phone(773) 498-2985
Fax(773) 498-6042
Sole ProprietorYes
Enumeration DateNovember 5, 2013
✔ NPI 1316376825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046.010752
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5718 W 63RD ST, Chicago, IL 60638
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susana Toledo O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susana Toledo's NPI number?

The NPI number for Susana Toledo is 1316376825. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Susana Toledo located?

Susana Toledo practices at 5718 W 63rd St, Chicago, IL 60638. The listed phone number is (773) 498-2985.

What is Susana Toledo's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Susana Toledo enrolled in Medicare?

Yes. Susana Toledo is registered in the Medicare PECOS enrollment system.

What insurance does Susana Toledo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Susana Toledo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susana Toledo was last updated on November 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.