DR. SANDRA RAFAEL O.D.
NPI 1497801757
Optometrist in Chicago, IL

Q: What is Sandra Rafael's NPI number?

The NPI number for Sandra Rafael is 1497801757. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Sandra Rafael'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 Sandra Rafael was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 January 26, 2007PECOS Enrolled

6200 N CLARK ST, CHICAGO, IL 60660(773) 743-1221(773) 743-1298 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Sandra Rafael O.d. NPPES

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

DR. SANDRA RAFAEL O.D. (NPI 1497801757) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046.008419) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497801757

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. SANDRA RAFAELCredential: O.D.

Location Address6200 N CLARK STChicago, IL 60660-1208

Mailing Address6200 N Clark StChicago, IL 60660-1208 · (773) 743-1221 · Fax (773) 743-1298

Phone(773) 743-1221

Fax(773) 743-1298

Sole ProprietorYes

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJanuary 15, 2016

✔ NPI 1497801757 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 · 046.008419

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.

6200 N CLARK ST, Chicago, IL 60660

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Other Identifiers 2

Medicare UPINU98420IL

Medicare PINIL1535001IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield 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. Sandra Rafael 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.

Medicare Billing Reassignments

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

Eye Q Optique At Imd, Inc.

8.6 mi

Eyewear Supplier

709 S. SEELEY AVE.
Chicago, IL 60612

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

NPI 1093379877 (312) 872-0201

Luxottica Of America Inc.

255 mi

Point of Service

4000 LUXOTTICA PL
Mason, OH 45040

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

NPI 1831244953 (513) 765-6000

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 60660 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.

CHICAGO EYES LTD

Optometrist

6200 N CLARK ST
CHICAGO, IL 60660

Cook County (773) 743-1221

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 Sandra Rafael's NPI number?

The NPI number for Sandra Rafael is 1497801757. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Sandra Rafael located?

Sandra Rafael practices at 6200 N Clark St, Chicago, IL 60660. The listed phone number is (773) 743-1221.

What is Sandra Rafael's specialty?

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

Is Sandra Rafael enrolled in Medicare?

Yes. Sandra Rafael is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandra Rafael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Rafael reassigns Medicare benefits to 2 organizations: Eye Q Optique At Imd, Inc. (Chicago, IL) and Luxottica Of America Inc. (Mason, OH). 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 Sandra Rafael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Rafael accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Sandra Rafael 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 Sandra Rafael was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.