Myeyedr Optometry of Illinois, LLC
Organization Active NPI Optometrist · Dundee, IL
NPI 1225510381 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1225510381
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- MYEYEDR OPTOMETRY OF ILLINOIS, LLC
- Practice address
- 1979 Huntley Rd
Dundee, IL 60118-9301 - Phone
- (847) 836-2020
- Fax
- (847) 836-6480
- NPI assigned
- Sep 5, 2018
- Organization subpart
- No
Authorized official
- Name
- Sue Healey
- Title
- Secretary
- Phone
- (703) 847-8899
Corporate family (same tax ID) 37
Practitioners 2
-
Eleni Nouhakis, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160310001870 | IL | Part B Supplier - Clinic/Group Practice | 3577869965 |
Receives reassigned benefits from 113 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Myeyedr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1979 Huntley Rd
Dundee, IL 60118-9301
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- MyEyeDr
Other providers in Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.