Brenart Eye Clinic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046006926 Issued in IL

Legal business name

BRENART EYE CLINIC, LLC

Practice address

120 E Countryside Pkwy
Yorkville, IL 60560-1877

Phone

(630) 553-6166

Fax

(630) 553-6178

NPI assigned

Nov 29, 2006

Last updated

Aug 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary E Melick, COA, OCS

Title

Office Manager

Phone

(630) 553-6166

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rochelle Bigner, OD

  • Optometrist
  • Yorkville, IL
  • NPI 1164112686
  Medicare reassignment Care Compare group NPD
• Rob F Brenart, OD

  • Optometrist
  • Yorkville, IL
  • NPI 1114455573
  Medicare reassignment Care Compare group NPD
• Ross W Mlsna, O.D.

  • Optometrist
  • Yorkville, IL
  • NPI 1457428542
  Medicare reassignment Care Compare group NPD
• Amanda Soukup, OD

  • Optometrist
  • Yorkville, IL
  • NPI 1699506964
  Medicare reassignment Care Compare group NPD
• Michael Evan Sperlakis, O.D.

  • Optometrist
  • Yorkville, IL
  • NPI 1962551028
  Medicare reassignment Care Compare group NPD
• Dac-Nha Le Truong, OD

  • Optometrist
  • Chicago, IL
  • NPI 1508559329
  Medicare reassignment Care Compare group NPD
• Nicole F Zangler, O.D.

  • Optometrist
  • Yorkville, IL
  • NPI 1063589596
  Medicare reassignment Care Compare group NPD
• Ismael Rodriguez, OD

  • Optometrist
  • Madison, WI
  • NPI 1831717362

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1245307636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E COUNTRYSIDE PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601877",
            "telephone_number": "630-553-6166",
            "fax_number": "630-553-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E COUNTRYSIDE PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601877",
            "telephone_number": "630-553-6166",
            "fax_number": "630-553-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENART EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "MELICK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-553-6166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COA, OCS"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008133",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009279",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006926",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009086",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "046010275",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penelope Sue Whitaker Booher, M.A.
• Paige Taylor Bradley
• Diane Marie Brasfield, LCSW
• Amy Lynn Braun, MA, LCPC
• Elizabeth Breier, APN
• Rob F Brenart, OD
• Robert W Brenart, O.D.
• Caprice Brent
• Bristol Kendall Fire Protection District
• Mike Bruell Jr., LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.