Meyer Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009096 Issued in IL

Legal business name

MEYER EYECARE INC

Practice address

13114 Western Ave
Blue Island, IL 60406-2439

Phone

(708) 388-1228

Fax

(708) 810-9726

NPI assigned

Mar 27, 2009

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jill C Ingelse, ODNPI 1528058443

Title

Owner

Phone

(708) 388-1228

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Jill C Ingelse, O.D.

  • Optometrist
  • Blue Island, IL
  • NPI 1528058443
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Ahrens

  • Optometrist
  • Blue Island, IL
  • NPI 1700299658
  Medicare reassignment Care Compare group NPD
• Jasmine Lopez, OD

  • Optometrist
  • Rockford, IL
  • NPI 1063291201
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1114169745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13114 WESTERN AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062439",
            "telephone_number": "708-388-1228",
            "fax_number": "708-388-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13114 WESTERN AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062439",
            "telephone_number": "708-388-1228",
            "fax_number": "708-810-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYER EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "INGELSE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-388-1228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009096",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1634291",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meaningful Expressions, LLC
• Alfonso Mejia-Zelaya, MD
• Christine Michelle Mendenhall, PSYD.,LCPC,CADC,MISA
• Rachel Menor, CADC
• Metrosouth Medical Center (hospital)
• Erika Meza
• Midwest Express Care 2, Inc (Midwest Express Clinic)
• Midwest Express Care 3 LLC (Loc #1: Blue Island)
• Steven Milenkovic, PA-C
• Michael Miller

• Optometrist in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.