Teresa Myers, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008750 Issued in IL

Practice address

202 E Clark St
West Frankfort, IL 62896-2706

Phone

(618) 937-3126

NPI assigned

Dec 6, 2006

Last updated

Jan 31, 2020By 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 identifiers 1

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Complete Family Eyecare of Carbondale, PC

  • Optometrist
  • Carbondale, IL
  • NPI 1518413863
  Medicare reassignment NPD
• Complete Family Eyecare of West Frankfort, PC

  • Optometrist
  • West Frankfort, IL
  • NPI 1669989281
  Medicare reassignment NPD
• Complete Family Eyecare, PC

  • Optometrist
  • Herrin, IL
  • NPI 1104131168
  Medicare reassignment NPD
• Talley Medical-Surgical Eye Care Associates PC

  dba Talley Eye Institute

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1154319143

  Optometrist

  NPD
• E Dale Brock OD PC

  • Optometrist
  • West Frankfort, IL
  • NPI 1275716839
  NPD (past)
• Naumann Optics Inc

  dba Columbia Optical Center

  • Eyewear Supplier
  • Columbia, IL
  • NPI 1578740031

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1225197148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180550",
            "telephone_number": "618-937-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CLARK ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628962706",
            "telephone_number": "618-937-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TERESA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008750",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micheal Moss
• Sarah Mossholder
• MRM Chiropractic LLC
• Kjatie Murphy
• Emily Myers, MS
• Alicia Nale
• National Assistance Bureau, Inc. (Westside Care Center)
• Kim Neal
• Nolen Clinic LTD.
• John Alan Nolen, D.C.

• Optometrist in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.