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

NPI Status: Active since July 23, 2025

Contact Information

111 S FRANKLIN ST
CHICAGO, IL
ZIP 60606
Phone: (312) 265-0444
Fax: (312) 929-4213

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  • Individual
  • Female
  • Optometrist

About ALYSSA PETKO

This page provides the complete NPI Profile along with additional information for Alyssa Petko, a provider established in Chicago, Illinois with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1336021187 assigned on July 2025. The practitioner's primary taxonomy code is 152W00000X with license number 046.012008 (IL). The provider is registered as an individual and her NPI record was last updated July 2025.

NPI
1336021187
Provider Name
DR. ALYSSA MICHELLE PETKO O.D.
Gender
Female
Entity Type
Individual
Location Address
111 S FRANKLIN ST CHICAGO, IL 60606
Location Phone
(312) 265-0444
Location Fax
(312) 929-4213
Mailing Address
5 N WABASH AVE APT 1505 CHICAGO, IL 60602
Mailing Phone
(847) 275-1291
Is Sole Proprietor?
Yes
Enumeration Date
07-23-2025
Last Update Date
07-23-2025
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Location Map

Secondary Locations

  • 825 S Waukegan Rd Ste C1
    Lake Forest, IL 60045
    (224) 706-6835
  • 25 E Washington St Ste 820
    Chicago, IL 60602
    (312) 332-0921

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
046.012008
License State
IL
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336021187
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366022116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 0 + 2 + 2 + 1 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1336021187 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164952362FRANKLIN EYE CARE, LLC
Organization
Clinic/Center (Health Service)111 S FRANKLIN ST
CHICAGO, IL 60606
(847) 527-9189

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336021187, enumerated in the NPI registry as an "individual" on July 23, 2025

The provider is located at 111 S Franklin St Chicago, Il 60606 and the phone number is (312) 265-0444

The provider's speciality is Optometrist with taxonomy code 152W00000X

This NPI record was last updated on July 23, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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