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DR. SHEILA M SETORK O.D.
NPI 1679854160
Optometrist in Skokie, IL

Active since August 29, 2011PECOS Enrolled
5301 TOUHY AVE, # 1, SKOKIE, IL 60077(847) 983-8777 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sheila M Setork O.d. NPPES

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

DR. SHEILA M SETORK O.D. (NPI 1679854160) is an individual optometrist in Skokie, Illinois, licensed in Illinois (046010510) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679854160
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHEILA M SETORKCredential: O.D.
Location Address5301 TOUHY AVE, # 1Skokie, IL 60077-3247
Mailing Address5301 Touhy Ave, # 1Skokie, IL 60077-3247 · (847) 983-8777
Phone(847) 983-8777
Sole ProprietorNo
Enumeration DateAugust 29, 2011
Last NPPES UpdateOctober 26, 2011
✔ NPI 1679854160 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 · 046010510
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.
5301 TOUHY AVE, Skokie, IL 60077
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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. Sheila M Setork 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 60077 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 3

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

AMERICAN CLINICAL SUPPLIES LTD
Durable Medical Equipment & Medical Supplies
5301 TOUHY AVE
SKOKIE, IL 60077
Cook County (847) 722-1692
COMPLETE THERAPY CARE INC
Physical Therapist
5301 TOUHY AVE, SUITE 201
SKOKIE, IL 60077
Cook County (847) 329-7530
HOME BOUND EYE CARE SERVICES LTD
Residential Treatment Facility, Physical Disabilities
5301 TOUHY AVE, SUITE 100
SKOKIE, IL 60077
Cook County (773) 736-2801

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 Sheila Setork's NPI number?

The NPI number for Sheila Setork is 1679854160. It was assigned to this individual provider in the NPPES registry on August 29, 2011.

Where is Sheila Setork located?

Sheila Setork practices at 5301 Touhy Ave # 1, Skokie, IL 60077. The listed phone number is (847) 983-8777.

What is Sheila Setork's specialty?

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

Is Sheila Setork enrolled in Medicare?

Yes. Sheila Setork is registered in the Medicare PECOS enrollment system.

What insurance does Sheila Setork 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 Sheila Setork 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 Sheila Setork was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.