Active NPI
Douglas Aaron Yuvan, O.D.
- Optometrist
- Saint Charles, IL
National Provider Identifier
1043234263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 46-009204
- Practice address
- 1001 E Main St
#C
Saint Charles, IL 60174-2202 - Phone
- (630) 584-1111
- Fax
- (630) 584-1239
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 46-009204 | IL | Primary |
Addresses
Primary practice location
1001 E Main St
#C
Saint Charles, IL 60174-2202
Mailing address
1001 E Main St
#C
Saint Charles, IL 60174-2202
Phone (630) 584-1111
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 E Main St
Suite C
St Charles, IL 60174-2203
Phone (630) 584-1111
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46-009204 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Ridge Vision Care, LTD. | Optometrist | Current | Accepting new patients |
| Richard F Butz | Past | Accepting new patients | |
| Oswego Vision, LTD | Optometrist | Past | Accepting new patients |
Locations
1001 E Main St
Ste C
St Charles, IL 60174
Phone (630) 584-1111
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.
-
- Optometrist
- Saint Charles, IL
- NPI 1225052301
-
- Optometrist
- Oswego, IL
- NPI 1740203850
-
- Health Maintenance Organization
- Naperville, IL
- NPI 1376726000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043234263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E MAIN ST",
"address_2": "#C",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601742202",
"telephone_number": "630-584-1111",
"fax_number": "630-584-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E MAIN ST",
"address_2": "#C",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601742202",
"telephone_number": "630-584-1111",
"fax_number": "630-584-1239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUVAN",
"first_name": "DOUGLAS",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "46-009204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.