Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972842284 Individual Practitioner Female Practitioner

Dr. Ellyn Rachel Kozob Lerner , OD

Optometrist • Chicago, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Ellyn Kozob Lerner, OD is a registered healthcare professional specializing in Optometrist in Chicago, IL. Official NPI practice address is registered at 5408 N CLARK ST.

Practice Location & Contact Primary Location

Practice Address

5408 N Clark St

Chicago, IL 606401210

Telephone 7732752020
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.6 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
633 Specialists

Practicing in Chicago, IL (2783 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046010698

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Il
01636706 (IL)
Commercial Insurance / Payer ID Aetna
7235044 (IL)
Commercial Insurance / Payer ID Multiplan
8825444 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1760677066

Doctor of Optometry

Katelyn Bult

Optometrist

NPI 1902544265

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated March 29, 2018

Recorded as ELLYN KOZOB LERNER, O.D.

NPI Profile Active January 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2018

Registered at 5408 N CLARK ST, CHICAGO, IL 606401210 (Tel: 7732752020)

📍
Updated Business Mailing Address January 11, 2018

Registered at 5408 N CLARK ST, CHICAGO, IL 606401210 (Tel: 7732752020)

👤
Provider Name / Credentials Updated January 11, 2018

Recorded as ELLEN KOZOB LERNER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2018

Optometrist (License #046010698 in IL)

NPI Profile Active October 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2015

Registered at 5408 N CLARK ST, CHICAGO, IL 606401210 (Tel: 7732752020)

📍
Updated Business Mailing Address October 26, 2015

Registered at 5408 N CLARK ST, CHICAGO, IL 606401210 (Tel: 7732752020)

👤
Provider Name / Credentials Updated October 26, 2015

Recorded as ELLEN KOZOB, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2015

Optometrist (License #046010698 in IL)

🟢
Initial NPI Registration & Enumeration February 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ellyn Kozob Lerner. Be the first to share your experience!

Sign in to leave a review for Dr. Ellyn Kozob Lerner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972842284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2013
Last Update: March 29, 2018
Sole Proprietor: No

Mailing Address

5408 N Clark St

Chicago, IL 606401210

Phone: 7732752020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.