Active NPI
Breeze Evelyn Bellen, O.D.
- Optometrist
- Park Ridge, IL
National Provider Identifier
1124011788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009782
- Practice address
- 350 S Northwest Hwy Ste 104
Park Ridge, IL 60068-4262 - Phone
- (847) 823-8283
- NPI assigned
- Aug 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 046009782 | IL | Primary |
Addresses
Primary practice location
350 S Northwest Hwy Ste 104
Park Ridge, IL 60068-4262
Mailing address
350 S Northwest Hwy Ste 104
Park Ridge, IL 60068-4262
Phone (847) 823-8283
Other names 1
- Dr. Breeze Evelyn Feiler
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 S Northwest Hwy
Suite 104
Park Ridge, IL 60068-4262
Phone (847) 823-8283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Ridge Vision LLC | Optometrist | Current | Accepting new patients |
| B.E.F. Enterprises, Inc. | Optometrist | Past | Accepting new patients |
| Contact Lenses Unlimited | Optometrist | Past | Accepting new patients |
| Emma Loyfman Odpc | Optometrist | Past | Accepting new patients |
Locations
350 S Northwest Hwy
Park Ridge, IL 60068
Phone (847) 470-1500
350 S Northwest Hwy
Ste 104
Park Ridge, IL 60068
Phone (847) 518-5353
Organizations & group practices 4
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
- Chicago, IL
- NPI 1114157492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1124011788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S NORTHWEST HWY STE 104",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684262",
"telephone_number": "847-823-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S NORTHWEST HWY STE 104",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684262",
"telephone_number": "847-823-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLEN",
"first_name": "BREEZE",
"middle_name": "EVELYN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-29",
"last_updated": "2024-06-05",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREEZE",
"last_name": "FEILER",
"middle_name": "EVELYN",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.