Daniel J. Medema, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0468031 Issued in IL

Practice address

279 N Northwest Hwy
Palatine, IL 60067-5326

Phone

(847) 358-4970

Fax

(847) 358-4972

NPI assigned

Jul 9, 2006

Last updated

Mar 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  Medicare reassignment NPD
• Eyedoctors P.C.

  • Optometrist
  • Niles, IL
  • NPI 1972853950
  NPD Authorized official
• Eyedoctors PC

  • Optometrist
  • Niles, IL
  • NPI 1679823132
  NPD Authorized official
• Medemaeyecare&Associates PC

  • Optometrist
  • Roselle, IL
  • NPI 1659630721
  NPD (past) Authorized official
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• Luxottica of America Inc.

  dba Lenscrafters #011

  • Eyewear Supplier
  • Arlington Heights, IL
  • NPI 1588738546
  NPD (past)
• Cole Vision Corporation

  • Optometrist
  • Mason, OH
  • NPI 1508903295
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1003849456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SPRINGFIELD DR",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723435",
            "telephone_number": "630-881-3339",
            "fax_number": "847-358-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 N NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600675326",
            "telephone_number": "847-358-4970",
            "fax_number": "847-358-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEMA",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0468031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne A McMahon, PA-C
• Tara McMahon, LCPC
• Shalayne Linda McMillian, LSW, CADC
• Jesse Tyler McMullan
• Meadows Dental Group (Meadows Dental Care)
• Medical Gear LLC
• Medical Supply Services US LLC (Medical Supplies US)
• Medicus Services, S.C.
• Meditrina Home Health Care Inc
• Sarah Medrys, MSW,LSW

• Optometrist in Palatine, IL
• Providers in Palatine, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.