DR. ALYSSA MICHELLE PETKO O.D.
NPI 1336021187
Optometrist in Chicago, IL

Q: What is Alyssa Petko's NPI number?

The NPI number for Alyssa Petko is 1336021187. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Q: What is Alyssa Petko's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alyssa Petko was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2025PECOS Enrolled

111 S FRANKLIN ST, CHICAGO, IL 60606(312) 265-0444(312) 929-4213 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Alyssa Michelle Petko O.d. NPPES

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

DR. ALYSSA MICHELLE PETKO O.D. (NPI 1336021187) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046.012008) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2025).

NPPES Registry Identity

NPI1336021187

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ALYSSA MICHELLE PETKOCredential: O.D.

Location Address111 S FRANKLIN STChicago, IL 60606-4628

Mailing Address5 N Wabash Ave Apt 1505Chicago, IL 60602-4743 · (847) 275-1291

Phone(312) 265-0444

Fax(312) 929-4213

Sole ProprietorYes

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2025

Enumeration DateJuly 23, 2025

NPPES CertifiedJuly 23, 2025

✔ NPI 1336021187 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 · 046.012008

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.

111 S FRANKLIN ST, Chicago, IL 60606

Open in Google Maps ↗

Secondary Practice Locations 2

Location 125 E Washington St Ste 820Chicago, IL 60602-1700 · Phone (312) 332-0921 · Fax (312) 332-0963

Location 2825 S Waukegan Rd Ste C1Lake Forest, IL 60045-2665 · Phone (224) 706-6835

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alyssa Michelle Petko O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870098197

PECOS Enrollment IDI20250926000486

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.

Medicare Billing Reassignments

Medicare enrollment records show Alyssa Petko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Franklin Eye Care, LLC

Same address

Health Service

111 S FRANKLIN ST
Chicago, IL 60606

Reassigned Medicare billing, Illinois enrollment
2 clinicians in this Medicare group

NPI 1164952362 (847) 527-9189

Perez Eye Care, Inc

0.4 mi

Optometrist

25 E. WASHINGTON STREET, SUITE 820
Chicago, IL 60602

Reassigned Medicare billing, Illinois enrollment
6 clinicians in this Medicare group

NPI 1336184217 (312) 332-0921

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60606 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANKLIN EYE CARE, LLC

Clinic/Center (Health Service)

111 S FRANKLIN ST
CHICAGO, IL 60606

Cook County (847) 527-9189

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 Alyssa Petko's NPI number?

The NPI number for Alyssa Petko is 1336021187. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Where is Alyssa Petko located?

Alyssa Petko practices at 111 S Franklin St, Chicago, IL 60606. The listed phone number is (312) 265-0444.

What is Alyssa Petko's specialty?

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

Is Alyssa Petko enrolled in Medicare?

Yes. Alyssa Petko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alyssa Petko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Petko reassigns Medicare benefits to 2 organizations: Franklin Eye Care, LLC (Chicago, IL) and Perez Eye Care, Inc (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyssa Petko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Petko accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Alyssa Petko 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 Alyssa Petko was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.