Alia Santoyo, O.D.
Individual provider Active NPI Optometrist · Naperville, IL
NPI 1164597449 · NPPES record last updated Jul 23, 2014
Key facts
- NPI
- 1164597449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 46009925 (IL)
- Practice address
- 1935 95TH St Unit 119
Naperville, IL 60564-9685 - Phone
- (630) 445-8166
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Vision Therapy PC
Practice addresses (Care Compare)
452 N Eola Rd
Suite D
Aurora, IL 60502-9110
Phone (630) 862-2020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070208000218 | IL | Practitioner - Optometry | 4587666227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46009925 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Vision Therapy PC | Current |
Accepting new patients | |
| Adams Eyecare, PC | Optometrist | Past | Accepting new patients |
| Naperville Optical | Past | Accepting new patients |
Locations
452 N Eola Rd
Ste D
Aurora, IL 60502
Phone (630) 862-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 46009925 | IL | Yes |
Addresses
Primary practice location
1935 95TH St Unit 119
Naperville, IL 60564-9685
Mailing address
3015 E New York St Ste a
Aurora, IL 60504-5162
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046009925 | Medicaid | IL |
Other names
- Dr. Alia Santoyo-Johnson
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.