Individual provider Active NPI

Andrew Morua Jr., OD

  • Optometrist
  • Lemont, IL
National Provider Identifier
1326718842
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011578 Issued in IL
Practice address
15900 W 127TH St Ste 221B
Lemont, IL 60439-2914
Phone
(312) 888-9999
Fax
(630) 863-7854
NPI assigned
Sep 16, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011578 IL Primary

Addresses

Primary practice location

15900 W 127TH St Ste 221B
Lemont, IL 60439-2914

Mailing address

15900 W 127TH St Ste 221B
Lemont, IL 60439-2914
Phone (312) 888-9999

Other practice location 1

360 Station Dr # 360B
Crystal Lake, IL 60014-7978
Phone (312) 888-9999

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
I20211217000732 IL Practitioner - Optometry 9335530880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solo Eye Care and Eyewear Gallery, LLCGroup PAC ID 8123043916, 9 clinicians

Practice addresses (Care Compare)

1444 S Michigan Ave
Chicago, IL 60605-4827
Phone (312) 588-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Union Eyes, LLC Optometrist CurrentSince Aug 8, 2021 Accepting new patients
Solo Eye Care University Village PLLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Solo Eye Care Bridgeport PLLC Optometrist Past Accepting new patients

Locations

1306 S Halsted St
Chicago, IL 60607
Phone (312) 455-1306

3460 S Halsted St
Chicago, IL 60608
Phone (312) 225-5135

360 Station Dr
#360B
Crystal Lake, IL 60014
Phone (312) 888-9999

15900 W 127th St
Ste 221B
Lemont, IL 60439
Phone (312) 888-9999

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1326718842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST STE 221B",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392914",
            "telephone_number": "312-888-9999",
            "fax_number": "630-863-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST STE 221B",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392914",
            "telephone_number": "312-888-9999",
            "fax_number": "630-863-7854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Station Dr # 360B",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147978",
            "country_code": "US",
            "telephone_number": "312-888-9999",
            "fax_number": "630-863-7854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORUA",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

Verify at the official NPI Registry.