Individual provider Active NPI

Elizabeth A. Mihevc, OD

  • Optometrist
  • Crystal Lake, IL
National Provider Identifier
1093722373
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008512 Issued in IL
Practice address
300 Memorial Dr Ste 300
Crystal Lake, IL 60014-6273
Phone
(815) 459-7110
Fax
(815) 459-7138
NPI assigned
Aug 1, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008512 IL Primary

Addresses

Primary practice location

300 Memorial Dr Ste 300
Crystal Lake, IL 60014-6273

Mailing address

300 Memorial Dr
Crystal Lake, IL 60014-6278
Phone (815) 459-7110

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
I20090716000486 IL Practitioner - Optometry 8921150269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Vision and Contact Lens Center LTDGroup PAC ID 1557421757, 3 clinicians

Practice addresses (Care Compare)

300 Memorial Dr
Suite 300
Crystal Lake, IL 60014-6273
Phone (815) 459-7110

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
63.51
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008512ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Atkinson Eye Care, P.C. Optometrist CurrentSince Oct 1, 1993 Accepting new patients
Lifetime Vision & Contact Lens Center, LTD. Optometrist CurrentSince Aug 23, 2023 Accepting new patients
Lifetime Vision and Contact Lens Center Optometrist PastSince Aug 23, 2023 Accepting new patients

Locations

2100 Huntington Dr N
Ste A
Algonquin, IL 60102
Phone (815) 338-0107

300 Memorial Dr
Ste 300
Crystal Lake, IL 60014
Phone (815) 459-7110

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1093722373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEMORIAL DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146278",
            "telephone_number": "815-459-7110",
            "fax_number": "815-459-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEMORIAL DR STE 300",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146273",
            "telephone_number": "815-459-7110",
            "fax_number": "815-459-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHEVC",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.