IndividualActive
Alyssa Petko, O.D.
NPI 1336021187 · Optometrist · Chicago, IL
Provider details
- NPI number
- 1336021187
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 046.012008 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 S Franklin St
Chicago, IL 60606-4628
Phone: (312) 265-0444
Fax: (312) 929-4213
Street-level locationGet directions
Mailing address
5 N Wabash Ave Apt 1505
Chicago, IL 60602-4743
Additional practice locations (2)
- 25 E Washington St Ste 820Chicago, IL 60602-1700Phone: (312) 332-0921Fax: (312) 332-0963
- 825 S Waukegan Rd Ste C1Lake Forest, IL 60045-2665Phone: (224) 706-6835
Registry dates
- Enumerated
- 2025-07-23
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.