Organization Active NPI

Daniel S Tresley P C

  • Ophthalmic Technician/Technologist
  • Northbrook, IL
National Provider Identifier
1154650539
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
036077219 Issued in IL
Legal business name
DANIEL S TRESLEY P C
Practice address
500 Skokie Blvd Ste 120
Northbrook, IL 60062-2849
Phone
(847) 291-6900
Fax
(847) 291-6968
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Daniel Scott Tresley, MDNPI 1831182468
Title
Owner
Phone
(847) 291-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1100X 036077219 IL Primary

Addresses

Primary practice location

500 Skokie Blvd Ste 120
Northbrook, IL 60062-2849

Mailing address

800 Dryden LN
Highland Park, IL 60035-4041
Phone (847) 291-6900

Other practice location 1

1800 Hollister Dr Ste 205
Libertyville, IL 60048-5266
Phone (847) 291-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100520000594 IL Part B Supplier - Clinic/Group Practice 7618006289 Receives reassigned benefits from 1 practitioner
Practice locations: Evanston, IL; Highland Park, IL; Libertyville, IL; Northbrook, IL; Skokie, IL

National Provider Directory

National Provider Directory

Locations

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

500 Skokie Blvd
Ste 120
Northbrook, IL 60062
Phone (847) 291-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1154650539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 DRYDEN LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354041",
            "telephone_number": "847-291-6900",
            "fax_number": "847-291-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SKOKIE BLVD STE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622849",
            "telephone_number": "847-291-6900",
            "fax_number": "847-291-6968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Hollister Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485266",
            "country_code": "US",
            "telephone_number": "847-291-6900",
            "fax_number": "847-291-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL S TRESLEY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "TRESLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-291-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "IL",
            "license": "036077219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.