Active NPI
Anthony J Prasnikar, OD
- Optometrist
- Westmont, IL
National Provider Identifier
1053413930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-007544
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 046-007544 | IL | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brauer Eye PLLC | Optometrist | Current | 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.
-
- Optometrist
- Westmont, IL
- NPI 1578731246
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.