Individual provider Active NPI

Stephanie Lynn Drnek, O.D.

  • Optometrist
  • Park Ridge, IL
National Provider Identifier
1306296363
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011010 Issued in IL
Practice address
2 W Talcott Rd
Park Ridge, IL 60068-5556
Phone
(847) 696-2434
Fax
(847) 696-1481
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011010 IL Primary

Addresses

Primary practice location

2 W Talcott Rd
Park Ridge, IL 60068-5556

Mailing address

2802 Coleen CT
Rolling Meadows, IL 60008-2361
Phone (847) 528-1320

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170413001842 IL Practitioner - Optometry 5496031064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011010ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Nov 19, 2018 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Nov 19, 2018 Accepting new patients

Locations

310 S Weber Rd
Bolingbrook, IL 60490
Phone (630) 771-0600

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

950 W State Route 22
Lake Zurich, IL 60047
Phone (847) 726-2020

2 W Talcott Rd
Ste 30
Park Ridge, IL 60068
Phone (847) 696-2434

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1306296363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 COLEEN CT",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082361",
            "telephone_number": "847-528-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W TALCOTT RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685556",
            "telephone_number": "847-696-2434",
            "fax_number": "847-696-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRNEK",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.