Eye Boutique, LLC
A Medicare group practice based in Schaumburg, IL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 7012073851), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7012073851
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 6
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 11
Enrollment records 6
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090304000089 | IL | Part B Supplier - Clinic/Group Practice | 1114144276 |
| O20100930018326 | IL | DME Supplier - Physician - Optometrist | 1114144276 |
| O20100930031949 | IL | DME Supplier - Physician - Optometrist | 1679721591 |
| O20100930096973 | IL | DME Supplier - Physician - Optometrist | 1851549638 |
| O20100930081123 | IL | DME Supplier - Physician - Optometrist | 1487802260 |
| O20100930068679 | IL | DME Supplier - Physician - Optometrist | 1659529436 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Eye Boutique, LLC
- Optometrist
- New Berlin, WI
- NPI 1114144276
-
Eye Boutique, LLC
- Optometrist
- Algonquin, IL
- NPI 1487802260
-
Eye Boutique, LLC
- Optometrist
- Naperville, IL
- NPI 1659529436
-
Eye Boutique, LLC
- Optometrist
- Crystal Lake, IL
- NPI 1679721591
-
Eye Boutique, LLC
- Optometrist
- Geneva, IL
- NPI 1851549638
-
Eye Boutique, LLC
- Optometrist
- Joliet, IL
- NPI 1720236805
Practice locations
- Crystal Lake, IL2
- Algonquin, IL2
- Geneva, IL2
- Naperville, IL2
- Schaumburg, IL2
- Joliet, IL1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (6).
-
Paul H Bastermajian, O.D.
- Optometrist
- Geneva, IL
- NPI 1033367040
-
Juan I Brito, O.D.
- Optometrist
- Crystal Lake, IL
- NPI 1851524318
-
Tejal S Patel, O.D.
- Optometrist
- Peoria, IL
- NPI 1134116585
-
Therese Marie Porretta, O.D.
- Optometrist
- Algonquin, IL
- NPI 1720182165
-
Patrick B Sesso, OD
- Optometrist
- Sheboygan, WI
- NPI 1912070939
-
Lisa B Spevacek, OD
- Optometrist
- Naperville, IL
- NPI 1184700908
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.