Individual provider Active NPI

Laura Cretors, O.D.

  • Optometrist
  • Antioch, IL
National Provider Identifier
1003896671
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
884 Hillside Ave
Antioch, IL 60002-1226
Phone
(847) 395-4090
Fax
(847) 395-7378
NPI assigned
Jan 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

884 Hillside Ave
Antioch, IL 60002-1226

Mailing address

120 Knobb Hill LN
Gurnee, IL 60031-2597
Phone (847) 855-1743

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120123000439 IL Practitioner - Optometry 1759558331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antioch Eye Associates OD PCGroup PAC ID 0345416939, 5 clinicians

Practice addresses (Care Compare)

31 N Ave
Antioch, IL 60002-1846
Phone (847) 395-4090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009062ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Antioch Eye Associates OD PC Optometrist CurrentSince Jan 28, 2000 Accepting new patients

Locations

31 North Ave
Antioch, IL 60002
Phone (847) 395-4090

884 Hillside Ave
Antioch, IL 60002
Phone (847) 395-1110

Networks

  • IL PPO Downstate
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003896671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KNOBB HILL LN",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312597",
            "telephone_number": "847-855-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 HILLSIDE AVE",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021226",
            "telephone_number": "847-395-4090",
            "fax_number": "847-395-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETORS",
        "first_name": "LAURA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, IL

Sources for this page

Verify at the official NPI Registry.