Individual provider Active NPI

Chase Smith

  • Optometrist
  • Wheaton, IL
National Provider Identifier
1043628423
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01004630 Issued in IL
Practice address
127 W Wesley St
Wheaton, IL 60187-5118
Phone
(708) 371-5160
Fax
(708) 930-1844
NPI assigned
Jul 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01004630 IL Primary

Addresses

Primary practice location

127 W Wesley St
Wheaton, IL 60187-5118

Mailing address

127 W Wesley St
Wheaton, IL 60187-5118
Phone (708) 371-5160

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014000728 IL Practitioner - Optometry 1355561440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

127 W Wesley St
Wheaton, IL 60187-5118
Phone (630) 923-8410

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01004630ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Wheaton, LLC Optometrist CurrentSince Jan 1, 2017 Accepting new patients

Locations

127 W Wesley St
Wheaton, IL 60187
Phone (630) 923-8410

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1043628423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W WESLEY ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875118",
            "telephone_number": "708-371-5160",
            "fax_number": "708-930-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W WESLEY ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875118",
            "telephone_number": "708-371-5160",
            "fax_number": "708-930-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHASE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "01004630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.