Organization Active NPI

Huntley Eye Care, PLLC

  • Optometrist
  • Huntley, IL
National Provider Identifier
1093998726
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.009841 Issued in IL
Legal business name
HUNTLEY EYE CARE, PLLC
Practice address
11809 Main St
Huntley, IL 60142-6919
Phone
(847) 515-2030
Fax
(847) 515-2040
NPI assigned
Dec 17, 2007
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Dr. Mindy Nguyen, O.D.NPI 1558324350
Title
Managing Member
Phone
(847) 515-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009841 IL Primary

Addresses

Primary practice location

11809 Main St
Huntley, IL 60142-6919

Mailing address

11809 Main St
Huntley, IL 60142-6919
Phone (847) 515-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080421000185 IL Part B Supplier - Clinic/Group Practice 8123106960 Receives reassigned benefits from 1 practitioner
Practice locations: Huntley, IL

National Provider Directory

National Provider Directory

Locations

11809 Main St
Huntley, IL 60142
Phone (847) 515-2030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1093998726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 MAIN ST",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426919",
            "telephone_number": "847-515-2030",
            "fax_number": "847-515-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 MAIN ST",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426919",
            "telephone_number": "847-515-2030",
            "fax_number": "847-515-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTLEY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "847-515-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.