David D Dewaard, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Practice address

1056 W Wilson Ave
Chicago, IL 60640-5622

Phone

(773) 271-5774

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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)

Enrolled

State licenses

Practice roles

Networks

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

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.

• Ilyas Optical Inc

  • Optometrist
  • Chicago, IL
  • NPI 1437326808
  Medicare reassignment Authorized official
• Ilyas Optical Inc.

  • Optometrist
  • Maywood, IL
  • NPI 1124339387
  NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1013086990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 W WILSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405622",
            "telephone_number": "773-271-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 W WILSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405622",
            "telephone_number": "773-271-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAARD",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raeann Devries, LPC
• Stephen R. Devries, M.D.
• Srimayi Andal Devulapalli
• Jagannath Devulapally, M.D.
• Madison Leigh Dew, MD
• Christopher J Dewald, M.D.
• Sarah Marie Dewalt
• Elena Dewar
• Carolyn Elizabeth Dewart, PHARM.D.
• Soham Dewashrayee

• Corneal and Contact Management Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Corneal and Contact Management Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.