Individual provider Active NPI

Duncan Joseph McNeillie, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1043026529
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011940 Issued in IL
Practice address
329 W 18TH St Ste 311
Chicago, IL 60616-5132
Phone
(312) 929-3340
NPI assigned
Dec 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011940 IL Primary

Addresses

Primary practice location

329 W 18TH St Ste 311
Chicago, IL 60616-5132

Mailing address

450 W Belmont Ave Apt 1602
Chicago, IL 60657-7591
Phone (281) 757-7925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046.011940ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ageless Eye Care P.C. Optometrist CurrentSince Dec 15, 2024 Accepting new patients

Locations

329 W 18th St
Ste 311
Chicago, IL 60616
Phone (312) 952-4847

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1043026529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W BELMONT AVE APT 1602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577591",
            "telephone_number": "281-757-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 18TH ST STE 311",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165132",
            "telephone_number": "312-929-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILLIE",
        "first_name": "DUNCAN",
        "middle_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.