Individual provider Active NPI

James Michael Saul, OD

  • Optometrist
  • Villa Park, IL
National Provider Identifier
1346327764
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007690 Issued in IL
Practice address
25 S Villa Ave
Villa Park, IL 60181-2650
Phone
(630) 832-6783
Fax
(630) 832-0495
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-007690 IL Primary

Addresses

Primary practice location

25 S Villa Ave
Villa Park, IL 60181-2650

Mailing address

25 S Villa Ave
Villa Park, IL 60181-2650
Phone (630) 832-6783

Other identifiers 2

IdentifierTypeStateIssuer
36-3640104OtherTAX ID
0298760001OtherILDME

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
I20101026000384 IL Practitioner - Optometry 9537274386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-007690ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Vision Eyecare PC Optometrist CurrentSince Jan 7, 2025 Accepting new patients

Locations

25 S Villa Ave
Villa Park, IL 60181
Phone (630) 832-6783

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1346327764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S VILLA AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812650",
            "telephone_number": "630-832-6783",
            "fax_number": "630-832-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S VILLA AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812650",
            "telephone_number": "630-832-6783",
            "fax_number": "630-832-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "36-3640104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0298760001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

Verify at the official NPI Registry.