Individual provider Active NPI

Alia Santoyo, O.D.

  • Optometrist
  • Naperville, IL
National Provider Identifier
1164597449
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46009925 Issued in IL
Practice address
1935 95TH St Unit 119
Naperville, IL 60564-9685
Phone
(630) 445-8166
NPI assigned
Nov 21, 2006
Last updated
Jul 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46009925 IL Primary

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 names 1

  • Dr. Alia Santoyo-Johnson Professional name

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
I20070208000218 IL Practitioner - Optometry 4587666227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 2769671718, 2 clinicians

Practice addresses (Care Compare)

452 N Eola Rd
Suite D
Aurora, IL 60502-9110
Phone (630) 862-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46009925ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Therapy PC CurrentSince Nov 1, 2017 Accepting new patients
Naperville Optical Past Accepting new patients
Adams Eyecare, PC Optometrist Past Accepting new patients

Locations

452 N Eola Rd
Ste D
Aurora, IL 60502
Phone (630) 862-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1164597449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E NEW YORK ST STE A",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 95TH ST UNIT 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649685",
            "telephone_number": "630-445-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOYO",
        "first_name": "ALIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIA",
            "last_name": "SANTOYO-JOHNSON",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.