Gretchen Lynn Maynard, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010870 Issued in IL

Practice address

117 W Main St
Bensenville, IL 60106-2133

Phone

(630) 860-5066

NPI assigned

May 29, 2015

Last updated

Jan 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gretchen Lynn Bromann Former name

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lavender Streiff PCGroup PAC ID 4385732809, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lavender Streiff PC

  dba Bensenville Eye Care

  • Optometrist
  • Bensenville, IL
  • NPI 1518154350
  Medicare reassignment Care Compare group NPD
• Dr Matthew E Schmidt & Associates Ophthalmologists S.C.

  • Ophthalmology Physician
  • Palos Heights, IL
  • NPI 1942345111
  Medicare reassignment NPD
• Dr Matthew E Schmidt & Associates Ophthalmologists S.C.

  • Eyewear Supplier
  • Orland Park, IL
  • NPI 1467955781
  NPD
• United Eye Care Providers, LLC

  • Optometrist
  • Lemont, IL
  • NPI 1013070093
  NPD (past)

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1194105635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062133",
            "telephone_number": "630-860-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "GRETCHEN",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "BROMANN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McOriolle Mahusay
• Natalia Cristina Martin, H.I.S
• Tomy Mathew
• Smitha Elizabeth Mathews, PT
• Lizeth Mauro, APRN, FNP-BC
• MB Medical PLLC
• MB Medical PLLC
• Melanie McCarthy, OTRL
• Patrick Meade
• Thomas Meade, PHARMD

• Optometrist in Bensenville, IL
• Providers in Bensenville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.