Active NPI
George J MC Ardle, O.D.
- Optometrist
- Naperville, IL
National Provider Identifier
1174682686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 1852 Bay Scott Cir
Suite 112
Naperville, IL 60540-1131 - Phone
- (630) 355-1531
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Primary |
Addresses
Primary practice location
1852 Bay Scott Cir
Suite 112
Naperville, IL 60540-1131
Mailing address
1852 Bay Scott Cir
Suite 112
Naperville, IL 60540-1131
Phone (630) 355-1531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02284073 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174682686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1852 BAY SCOTT CIR",
"address_2": "SUITE 112",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605401131",
"telephone_number": "630-355-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1852 BAY SCOTT CIR",
"address_2": "SUITE 112",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605401131",
"telephone_number": "630-355-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC ARDLE",
"first_name": "GEORGE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02284073",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.