Meyer Optical Co. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MEYER OPTICAL CO. INC.

Practice address

135 W River St
Bourbonnais, IL 60914-1964

Phone

(815) 939-2222

Fax

(815) 939-0970

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark John Vidas, 0.D.NPI 1881787901

Title

Optometrist

Phone

(815) 939-2222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Vidas, O.D.

  • Corneal and Contact Management Optometrist
  • Bourbonnais, IL
  • NPI 1881787901
  Medicare reassignment Care Compare group NPD Authorized official
• Shawn W. Danahey, O.D.

  • Optometrist
  • Bourbonnais, IL
  • NPI 1538204995
  Medicare reassignment Care Compare group NPD
• Erik Ranta, O.D.

  • Optometrist
  • Bourbonnais, IL
  • NPI 1245566363
  Medicare reassignment Care Compare group NPD
• Ludwig Chad Kuhar, O.D.

  • Corneal and Contact Management Optometrist
  • Shorewood, IL
  • NPI 1104839166
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1285751552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W RIVER ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141964",
            "telephone_number": "815-939-2222",
            "fax_number": "815-939-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W RIVER ST",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141964",
            "telephone_number": "815-939-2222",
            "fax_number": "815-939-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYER OPTICAL CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "VIDAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "815-939-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "0.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan J. Campbell, Art Therapy Inc.
• Megan K. Bucklin, LCPC, P.C.
• Benjamin Kyle Meils, LCPC
• Renee Mellin, LCPC
• Jeanine Mellish
• Jason W Meyer, PT, DPT, CSCS
• Maike Meyer
• Michelle Meyers, MOTR/L
• Michelle Hessler
• Michelle M Hessler MSW LCSW LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.