Active NPI
Myeyedr Optometry of Illinois, LLC
- Optometrist
- Chicago, IL
National Provider Identifier
1023984622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF ILLINOIS, LLC
- Practice address
- 3929 N Western Ave Ste 1S
Chicago, IL 60618-3751 - Phone
- (773) 906-5725
- Fax
- (773) 828-5789
- NPI assigned
- Oct 13, 2025
- Last updated
- Oct 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Ann Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
3929 N Western Ave Ste 1S
Chicago, IL 60618-3751
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160310001870 | IL | Part B Supplier - Clinic/Group Practice | 3577869965 |
Receives reassigned benefits from 113 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Myeyedr
Other organizations with this tax ID 37
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Chicago, IL
- NPI 1154297752
-
- Optometrist
- Chicago, IL
- NPI 1225904824
Locations
3929 N Western Ave
Ste 1S
Chicago, IL 60618
Phone (773) 828-5873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760313600000",
"number": "1023984622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 N WESTERN AVE STE 1S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183751",
"telephone_number": "773-906-5725",
"fax_number": "773-828-5789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF ILLINOIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-13",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Olivia Myers, MFT CANDIDATE
- Patrick J Myers, M.D.
- Paul Myers
- Paul M Myers, PMHNP
- Sydney Katherine Myers
- Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
- Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
- Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
- Myeyedr Optometry of Illinois, LLC
- Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.