NPIMap

Organization Active NPI

Myeyedr Optometry of Illinois, LLC

  • Optometrist
  • Chicago, IL
National Provider Identifier
1154297752
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF ILLINOIS, LLC
Practice address
14 S Peoria St
Chicago, IL 60607-2628
Phone
(312) 432-0080
Fax
(312) 432-0586
NPI assigned
Oct 13, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Sue Ann Downes
Title
Secretary
Phone
(703) 847-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

14 S Peoria St
Chicago, IL 60607-2628

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160310001870 IL Part B Supplier - Clinic/Group Practice 3577869965 Receives reassigned benefits from 113 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Myeyedr38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

310 S Weber Rd
Bolingbrook, IL 60490
Phone (630) 771-0600

1212 N Wells St
Ste 1
Chicago, IL 60610
Phone (312) 664-2020

1300 N Ashland Ave
Frnt 123B
Chicago, IL 60622
Phone (773) 276-2020

2000 N Clybourn Ave
#G2
Chicago, IL 60614
Phone (773) 975-7867

3929 N Western Ave
Ste 1S
Chicago, IL 60618
Phone (773) 828-5873

4418 W Diversey Ave
Chicago, IL 60639
Phone (312) 945-7192

1533 Market St
Des Plaines, IL 60016
Phone (847) 391-6988

134 Ogden Ave
Downers Grove, IL 60515
Phone (630) 517-2000

522 Dempster St
Evanston, IL 60202
Phone (847) 864-5200

507 S 3rd St
Geneva, IL 60134
Phone (630) 397-5900

463 Central Ave
Highland Park, IL 60035
Phone (847) 266-6400

950 W State Route 22
Lake Zurich, IL 60047
Phone (847) 726-2020

4852 211th St
Matteson, IL 60443
Phone (708) 747-4800

104 Ridge Rd
Minooka, IL 60447
Phone (815) 467-7090

122 N Oak Park Ave
Oak Park, IL 60301
Phone (708) 524-2020

Practitioners & affiliated clinicians

Practitioners 111

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.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1154297752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S PEORIA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072628",
            "telephone_number": "312-432-0080",
            "fax_number": "312-432-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.