Individual provider Active NPI

Viktoria Loydall, O.D.

  • Optometrist
  • Downers Grove, IL
National Provider Identifier
1194080226
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010563 Issued in IL
Practice address
3800 Highland Ave Ste 100
Downers Grove, IL 60515-1559
Phone
(630) 517-2000
NPI assigned
Jul 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010563 IL Primary

Addresses

Primary practice location

3800 Highland Ave Ste 100
Downers Grove, IL 60515-1559

Mailing address

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

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
I20130610000433 IL Practitioner - Optometry 1951540673 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010563ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spex Express Inc Optometrist CurrentSince Dec 9, 2017 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Jan 11, 2021 Accepting new patients
Monica L Cicimov & Associates Inc Optometrist PastSince Aug 30, 2016 Accepting new patients
James K. Cutler O.D. & Associates, P.C. Optometrist Past Accepting new patients

Locations

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

3201 Commerce Dr
DeKalb, IL 60115
Phone (815) 758-1039

3800 Highland Ave
Ste 100
Downers Grove, IL 60515
Phone (630) 517-2000

2570 DeKalb Ave
Sycamore, IL 60178
Phone (815) 756-2222

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1194080226",
    "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": "3800 HIGHLAND AVE STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151559",
            "telephone_number": "630-517-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYDALL",
        "first_name": "VIKTORIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-04",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.