Myers Optometrics PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYERS OPTOMETRICS PLLC

Practice address

910 Green Bay Rd
Winnetka, IL 60093-1719

Phone

(636) 399-5826

NPI assigned

May 12, 2022

Organization subpart

No

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

Authorized official

Name

Daniel Myers, ODNPI 1639431000

Title

Optometrist

Phone

(636) 399-5826

Specialties & licenses 5

Addresses

Other names 1

• Eversee Boutique Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Daniel Benjamin Myers, O.D.

  • Optometrist
  • Winnetka, IL
  • NPI 1639431000
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1346986205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GREEN BAY RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931719",
            "telephone_number": "636-399-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GREEN BAY RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931719",
            "telephone_number": "636-399-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS OPTOMETRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "636-399-5826",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eversee Boutique Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trisha Miki, M.D.
• Kenneth N Milin, DDS
• Linda Lou Millon, PSY.D.
• Ms. Olivia'S Therapy, Inc.
• Victoria Murphy
• Daniel Benjamin Myers, O.D.
• Myeyedr Optometry of Illinois, LLC
• Susan J Nelson, MD
• Kate Newman
• William Louis Nickel, DDS

• Optometrist in Winnetka, IL
• Providers in Winnetka, 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, 2022; 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.