Individual provider Active NPI

Donald D Loconte, OD

  • Optometrist
  • New Lenox, IL
National Provider Identifier
1003924945
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IL046-009361 Issued in IL
Practice address
1870 Silver Cross Blvd Ste 110
New Lenox, IL 60451-8640
Phone
(815) 485-2727
Fax
(815) 485-3034
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL046-009361 IL Primary

Addresses

Primary practice location

1870 Silver Cross Blvd Ste 110
New Lenox, IL 60451-8640

Mailing address

1870 Silver Cross Blvd Ste 110
New Lenox, IL 60451-8640
Phone (815) 485-2727

Other practice location 1

15900 W 127th St Ste 200
Lemont, IL 60439-2912
Phone (815) 485-2727

Other identifiers 1

IdentifierTypeStateIssuer
212298OtherILMEDICARE GROUP NUMBER

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
I20050930000272 IL Practitioner - Optometry 3779518527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Care SCGroup PAC ID 0446145577, 6 clinicians

Practice addresses (Care Compare)

1870 Silver Cross Blvd
Suite 110
New Lenox, IL 60451-8640
Phone (815) 485-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IL046-009361ILMDOptometrist

Practice roles (3 of 8)

OrganizationSpecialtyStatusNew patients
Advanced Eye Care SC CurrentSince Jul 1, 2020 Accepting new patients
Advanced Eye Care SC CurrentSince Jul 1, 2020 Accepting new patients
Kirschner Optometric Associates, P.C. Optometrist Past Accepting new patients

Locations

15900 W 127th St
Ste 200
Lemont, IL 60439
Phone (630) 833-2554

1870 Silver Cross Blvd
Ste 110
New Lenox, IL 60451
Phone (815) 485-2727

Networks

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

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1003924945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 SILVER CROSS BLVD STE 110",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604518640",
            "telephone_number": "815-485-2727",
            "fax_number": "815-485-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 SILVER CROSS BLVD STE 110",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604518640",
            "telephone_number": "815-485-2727",
            "fax_number": "815-485-3034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15900 W 127th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lemont",
            "state": "IL",
            "postal_code": "604392912",
            "country_code": "US",
            "telephone_number": "815-485-2727",
            "fax_number": "815-485-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCONTE",
        "first_name": "DONALD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "IL046-009361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "212298",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.