Individual provider Active NPI

Laura A Giancola, OD

  • Optometrist
  • Naperville, IL
National Provider Identifier
1154430353
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008346 Issued in IL
Practice address
29 S Webster St
Suite 200
Naperville, IL 60540-5356
Phone
(630) 357-3511
Fax
(630) 357-0556
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008346 IL Primary

Addresses

Primary practice location

29 S Webster St
Suite 200
Naperville, IL 60540-5356

Mailing address

29 S Webster Street
Suite 200
Naperville, IL 60540-5356
Phone (630) 357-3511

Other practice location 1

5018 Fairview Ave
Downers Grove, IL 60515-3951
Phone (630) 969-3268

Other practice location 2

1331 W 75th St Ste 403
Naperville, IL 60540-9336
Phone (630) 357-3511

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
I20040817000521 IL Practitioner - Optometry 4789666157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naper Grove Vision Care, P.C.Group PAC ID 4082696448, 10 clinicians

Practice addresses (Care Compare)

29 S Webster St
Suite 200
Naperville, IL 60540-5368
Phone (630) 357-3511

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008346ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Naper Grove Vision Care, P.C. CurrentSince Sep 1, 2004 Accepting new patients
Naper Grove Vision Care, P.C. Optometrist CurrentSince May 1, 1993 Accepting new patients

Locations

6840 Main St
Ste 250
Downers Grove, IL 60516
Phone (630) 969-3268

5018 Fairview Ave
Downers Grove, IL 60515
Phone (630) 357-3511

29 S Webster St
Ste 200
Naperville, IL 60540
Phone (630) 357-3511

1331 W 75th St
Ste 403
Naperville, IL 60540
Phone (630) 357-3511

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1154430353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER STREET",
            "address_2": "SUITE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405356",
            "telephone_number": "630-357-3511",
            "fax_number": "630-357-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST",
            "address_2": "SUITE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405356",
            "telephone_number": "630-357-3511",
            "fax_number": "630-357-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5018 Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605153951",
            "country_code": "US",
            "telephone_number": "630-969-3268",
            "fax_number": "630-969-3709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 W 75th St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605409336",
            "country_code": "US",
            "telephone_number": "630-357-3511",
            "fax_number": "630-357-0556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANCOLA",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.