Active NPI
Linda S Weil, O.D.
- Optometrist
- Downers Grove, IL
National Provider Identifier
1063410033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 468095
- Practice address
- 3800 Highland Ave
Ste. 100
Downers Grove, IL 60515-1557 - Phone
- (630) 960-0456
- Fax
- (630) 960-9521
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- 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 | 468095 | IL | Primary |
Addresses
Primary practice location
3800 Highland Ave
Ste. 100
Downers Grove, IL 60515-1557
Mailing address
3800 Highland Ave
Ste. 100
Downers Grove, IL 60515-1557
Phone (630) 960-0456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01626808 | Other | IL | BCBS |
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 |
|---|---|---|---|
| 468095 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Northern Illinois PC | Optometrist | Past | Accepting new patients |
| United Eye Care Providers, LLC | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Downers Grove, IL
- NPI 1962516518
-
- Optometrist
- Lemont, IL
- NPI 1013070093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191801600000",
"number": "1063410033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 HIGHLAND AVE",
"address_2": "STE. 100",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151557",
"telephone_number": "630-960-0456",
"fax_number": "630-960-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 HIGHLAND AVE",
"address_2": "STE. 100",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151557",
"telephone_number": "630-960-0456",
"fax_number": "630-960-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIL",
"first_name": "LINDA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2007-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "468095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01626808",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.