Individual provider Active NPI

Anthony J Prasnikar, OD

  • Optometrist
  • Westmont, IL
National Provider Identifier
1053413930
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007544 Issued in IL
Practice address
6321 Fairview Ave
Suite a
Westmont, IL 60559-2886
Phone
(630) 852-0102
Fax
(630) 852-0260
NPI assigned
Sep 2, 2006
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 046-007544 IL
Customized Equipment (DME) 332BC3200X 046-007544 IL
Eyewear Supplier 332H00000X 046-007544 IL
Optometrist 152W00000X 046-007544 IL Primary
Corneal and Contact Management Optometrist 152WC0802X 046-007544 IL
Pediatric Optometrist 152WP0200X 046-007544 IL
Sports Vision Optometrist 152WS0006X 046-007544 IL
Vision Therapy Optometrist 152WV0400X 046-007544 IL
Occupational Vision Optometrist 152WX0102X 046-007544 IL

Addresses

Primary practice location

6321 Fairview Ave
Suite a
Westmont, IL 60559-2886

Mailing address

6425 Davane CT
Downers Grove, IL 60516-3057
Phone (630) 915-0157

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-007544ILMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Brauer Eye PLLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients

Locations

6321 Fairview Ave
Ste A
Westmont, IL 60559
Phone (630) 852-0102

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1053413930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 DAVANE CT",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163057",
            "telephone_number": "630-915-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 FAIRVIEW AVE",
            "address_2": "SUITE A",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592886",
            "telephone_number": "630-852-0102",
            "fax_number": "630-852-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASNIKAR",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "046-007544",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "046-007544",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046-007544",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007544",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046-007544",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IL",
            "license": "046-007544",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IL",
            "license": "046-007544",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046-007544",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "IL",
            "license": "046-007544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

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