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CHARLES S KEFALAS ODPC
NPI 1932288198
Optometrist in Chicago, IL

Active since November 06, 2006
4256 W 63RD ST, CHICAGO, IL 60629(773) 582-0660(773) 582-0859 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles S Kefalas Odpc NPPES

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

CHARLES S KEFALAS ODPC (NPI 1932288198) is a healthcare organization registered as an optometrist in Chicago, Illinois and active in the NPI registry since November 2006. The organization lists Charles S Kefalas, President, as its authorized official.

NPPES Registry Identity

NPI1932288198
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCHARLES S KEFALAS ODPC
Location Address4256 W 63RD STChicago, IL 60629-5037
Mailing Address4256 W 63rd StChicago, IL 60629-5037 · (773) 582-0660 · Fax (773) 582-0859
Phone(773) 582-0660
Fax(773) 582-0859
Organization SubpartNo
Authorized OfficialCharles S KefalasPresident · (773) 582-0660
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 19, 2010
✔ NPI 1932288198 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 · 046008568
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.
4256 W 63RD ST, Chicago, IL 60629
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN625490IL
Medicare NSC4259410001IL
Medicare PINDB5027IL

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 SINGLE SPECIALTY GROUP

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles S Kefalas Odpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Charles S Kefalas Odpc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Aaron Janis, OD
Optometry
NPI 1437228616
4256 W 63RD ST
Chicago, IL 60629
(773) 582-0660
✔ PECOSSame address
Charles Kefalas, OD
Optometry
NPI 1780753939
4256 W 63RD ST
Chicago, IL 60629
(773) 582-0660
✔ PECOSSame 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 Charles S Kefalas Odpc's NPI number?

The NPI number for Charles S Kefalas Odpc is 1932288198. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Charles S Kefalas Odpc located?

Charles S Kefalas Odpc is located at 4256 W 63rd St, Chicago, IL 60629. The listed phone number is (773) 582-0660.

What is Charles S Kefalas Odpc's specialty?

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

Is Charles S Kefalas Odpc enrolled in Medicare?

Yes. Charles S Kefalas Odpc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles S Kefalas Odpc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Charles S Kefalas Odpc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Charles S Kefalas Odpc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Charles S Kefalas Odpc 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 Charles S Kefalas Odpc was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.