Individual provider Active NPI

Danielle Julienne Nesbitt, O.D.

  • Optometrist
  • Vernon Hills, IL
National Provider Identifier
1184065898
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010701 Issued in IL
Practice address
875 N Milwaukee Ave Unit 300
Vernon Hills, IL 60061-3167
Phone
(847) 325-4440
Fax
(847) 325-4443
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010701 IL Primary

Addresses

Primary practice location

875 N Milwaukee Ave Unit 300
Vernon Hills, IL 60061-3167

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

463 Central Ave
Highland Park, IL 60035-2622
Phone (847) 266-6400

Other identifiers 5

IdentifierTypeStateIssuer
210209OtherILMEDICARE GROUP
7235044OtherILAETNA
8825444OtherILMULTIPLAN
1636706OtherILBCBS
211019OtherILMEDICARE GROUP

Other names 1

  • Danielle Karacsonyi Other 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
I20130809000456 IL Practitioner - Optometry 0840432498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Feb 29, 2016 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Feb 29, 2016 Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service Inc Optometrist Past Accepting new patients
Industrial Optical Service, Inc Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients
Industrial Optical Service, Inc. Optometrist Past Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

4418 W Diversey Ave
Chicago, IL 60639
Phone (312) 945-7192

463 Central Ave
Highland Park, IL 60035
Phone (847) 266-6400

185 Milwaukee Ave
Ste 135
Lincolnshire, IL 60069
Phone (847) 325-4440

875 N Milwaukee Ave
Unit 300
Vernon Hills, IL 60061
Phone (847) 325-4440

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1184065898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N MILWAUKEE AVE UNIT 300",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613167",
            "telephone_number": "847-325-4440",
            "fax_number": "847-325-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600352622",
            "country_code": "US",
            "telephone_number": "847-266-6400",
            "fax_number": "847-266-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "DANIELLE",
        "middle_name": "JULIENNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "210209",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7235044",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "8825444",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1636706",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "211019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "KARACSONYI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.