Individual provider Active NPI

Aarlan Vincent Aceto, OD

  • Optometrist
  • Downers Grove, IL
National Provider Identifier
1013064385
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010945 Issued in IL
Practice address
3450 Lacey Rd
Downers Grove, IL 60515-5430
Phone
(630) 743-4807
NPI assigned
Jan 5, 2007
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 001322 CT
Optometrist 152W00000X 3.002790 CT
Optometrist 152W00000X 046010945 IL Primary

Addresses

Primary practice location

3450 Lacey Rd
Downers Grove, IL 60515-5430

Mailing address

3450 Lacey Rd
Downers Grove, IL 60515-5430
Phone (630) 743-4807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100107000701 CT Practitioner - Optometry 6800937236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Optometric Care PCGroup PAC ID 3678800109, 11 clinicians

Practice addresses (Care Compare)

14 Hazard Ave
Enfield, CT 06082-3713
Phone (860) 256-8766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3.002790CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Killingly Eye Care P.C. Optometrist CurrentSince Sep 23, 2014 Accepting new patients
Apex Optometric Care PC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
The Harvey & Lewis Co. Optician Past Accepting new patients
Midwestern University Past Accepting new patients
Connecticut Eye Care, LLC Optometrist Past Accepting new patients

Locations

110 Albany Tpke
Canton, CT 06019
Phone (860) 256-8766

25 Green Hollow Rd
Danielson, CT 06239
Phone (860) 373-4148

325 Burnham St
East Hartford, CT 06108

14 Hazard Ave
Enfield, CT 06082
Phone (860) 256-8766

45 Asylum St
Hartford, CT 06103
Phone (860) 256-8766

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

32 Chamberlain Hwy
Kensington, CT 06037
Phone (860) 256-8766

347 N Main St
West Hartford, CT 06117
Phone (860) 256-8766

Organizations & group practices 5

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1013064385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LACEY RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155430",
            "telephone_number": "630-743-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LACEY RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155430",
            "telephone_number": "630-743-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACETO",
        "first_name": "AARLAN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001322",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3.002790",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.