Individual provider Active NPI

Daniel Contreras, O.D.

  • Optometrist
  • Calumet City, IL
National Provider Identifier
1073681276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
1320 Torrence Ave
Calumet City, IL 60409-5512
Phone
(708) 868-5190
Fax
(708) 868-3232
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

1320 Torrence Ave
Calumet City, IL 60409-5512

Mailing address

1320 Torrence Ave
Calumet City, IL 60409-5512
Phone (708) 868-5190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070524000534 IL Practitioner - Optometry 7416054515 Reassigns benefits to 4 organizations
I20250410002374 IN Practitioner - Optometry 7416054515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009587ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vidulich, Blase & Valentino, P.C. Optometrist CurrentSince Nov 9, 2015 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Mar 2, 2025 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Mar 2, 2025 Accepting new patients
Wilma, LTD Optometrist CurrentSince Dec 2, 2015 Accepting new patients
Weltzer-Maite, P.C. Optometrist CurrentSince Dec 1, 2015 Accepting new patients
Six Corners Eye Care LLC Optometrist CurrentSince Oct 20, 2024 Accepting new patients
Thaddeus, LTD Optometrist CurrentSince Nov 9, 2015 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients
Pearle Vision Inc Past Accepting new patients
Melrose Park Eye Care LLC Optometrist Past Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist Past Accepting new patients

Locations

400 W Division St
Chicago, IL 60610
Phone (312) 274-1212

1730 W Fullerton Ave
Chicago, IL 60614
Phone (773) 327-3000

4017 N Milwaukee Ave
Chicago, IL 60641
Phone (773) 545-2660

904 W North Ave
Melrose Park, IL 60160
Phone (708) 343-6767

10140 Indianapolis Blvd
Ste C
Highland, IN 46322
Phone (219) 924-3919

2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010

1825 E 80th Ave
Merrillville, IN 46410
Phone (219) 791-0951

1908 Southlake Mall
Unit AL104
Merrillville, IN 46410
Phone (219) 791-0951

Interoperability endpoints

  • Direct secure messaging: 88982@visionworks.emadirect.md

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073681276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 TORRENCE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095512",
            "telephone_number": "708-868-5190",
            "fax_number": "708-868-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 TORRENCE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095512",
            "telephone_number": "708-868-5190",
            "fax_number": "708-868-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "DANIEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.