MEDICARE: MS. VIVIAN ELENI PIERROPOULOS OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	046.012018	IL

General Provider Information

NPI Number	:	1205715927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIVIAN ELENI PIERROPOULOS OD

Provider Business Mailing Address
First Line	:	7832 WAKEFIELD DR
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-4327
Country	:	US
Telephone Number	:	630-842-7294
Fax Number	:

Provider Business Practice Location Address
First Line	:	1444 S MICHIGAN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-4827
Country	:	US
Telephone Number	:	312-588-5999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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