Individual provider Active NPI

Berta Newton, OD

  • Optometrist
  • Antioch, IL
National Provider Identifier
1124540083
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011131 Issued in IL
Practice address
554 E Il Route 173
Antioch, IL 60002-9420
Phone
(224) 603-7189
Fax
(224) 788-8656
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011131 IL Primary

Addresses

Primary practice location

554 E Il Route 173
Antioch, IL 60002-9420

Mailing address

2506 Sycamore Rd
Dekalb, IL 60115-2052
Phone (815) 517-0877

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
I20210330000322 IL Practitioner - Optometry 9032526512 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Grayslake Eyecare Assoc LTDGroup PAC ID 8527338532, 3 clinicians
Antioch Eyecare LLCGroup PAC ID 0648548545, 2 clinicians

Practice addresses (Care Compare)

661 N Lake St
Grayslake, IL 60030-1471
Phone (847) 223-7600

735 Main St
Antioch, IL 60002-1321
Phone (847) 395-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011131ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SKK Optometrists PLLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Antioch Eyecare LLC Optometrist CurrentSince Sep 23, 2024 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince Apr 26, 2021 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Nov 20, 2023 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Apr 26, 2021 Accepting new patients
Oneopto Il 1 PLLC Optometrist CurrentSince Sep 28, 2025 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Grayslake Eyecare Assoc LTD Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Jul 1, 2022 Accepting new patients

Locations

735 Main St
Antioch, IL 60002
Phone (847) 395-8885

554 E Il Route 173
Antioch, IL 60002
Phone (224) 603-7189

1918 Gateway Center Dr
Belvidere, IL 61008
Phone (815) 547-3456

661 N Lake St
Grayslake, IL 60030
Phone (847) 223-7600

534 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 550-5228

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1124540083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152052",
            "telephone_number": "815-517-0877",
            "fax_number": "815-517-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 E IL ROUTE 173",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600029420",
            "telephone_number": "224-603-7189",
            "fax_number": "224-788-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "BERTA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, IL

Sources for this page

Verify at the official NPI Registry.