EYE SPECIALIST GROUP, LLC
NPI 1669945440
Ophthalmology in Oak Lawn, IL

Q: What is Eye Specialist Group, LLC's NPI number?

The NPI number for Eye Specialist Group, LLC is 1669945440. It was assigned to this organization in the NPPES registry on January 4, 2019.

Q: What is Eye Specialist Group, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since January 04, 2019

4400 W 95TH ST STE 312, OAK LAWN, IL 60453(708) 307-0217 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Eye Specialist Group, Llc NPPES

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

EYE SPECIALIST GROUP, LLC (NPI 1669945440) is a healthcare organization registered as an ophthalmology in Oak Lawn, Illinois and active in the NPI registry since January 2019. The organization lists Carrie Violetto, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1669945440

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameEYE SPECIALIST GROUP, LLC

Location Address4400 W 95TH ST STE 312Oak Lawn, IL 60453-2660

Mailing Address4400 W 95th St Ste 312Oak Lawn, IL 60453-2660 · (708) 307-0217

Phone(708) 307-0217

Organization SubpartNo

Authorized OfficialCarrie ViolettoPractice Manager · (708) 307-0217

Enumeration DateJanuary 4, 2019

✔ NPI 1669945440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4400 W 95TH ST STE 312, Oak Lawn, IL 60453

Open in Google Maps ↗

Other Identifiers 1

Other036066839IL · Physician License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Specialist Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eye Specialist Group, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jonathan Buka, M.D.

Ophthalmology

NPI 1477522050

4400 W 95TH ST STE 312
Oak Lawn, IL 60453

(708) 581-3514

✔ PECOS✔ Accepts MedicareSame address

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

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 Eye Specialist Group, LLC's NPI number?

The NPI number for Eye Specialist Group, LLC is 1669945440. It was assigned to this organization in the NPPES registry on January 4, 2019.

Where is Eye Specialist Group, LLC located?

Eye Specialist Group, LLC is located at 4400 W 95th St Ste 312, Oak Lawn, IL 60453. The listed phone number is (708) 307-0217.

What is Eye Specialist Group, LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eye Specialist Group, LLC enrolled in Medicare?

Yes. Eye Specialist Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Specialist Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Eye Specialist Group, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eye Specialist Group, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Eye Specialist Group, LLC 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 Eye Specialist Group, LLC was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.