Individual provider Active NPI

Melanie Kovacs, OD

  • Optometrist
  • Evanston, IL
National Provider Identifier
1356906317
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011316 Issued in IL
Practice address
2000 Central St
Evanston, IL 60201-2218
Phone
(847) 864-0300
Fax
(844) 769-9769
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 046011316 IL Primary

Addresses

Primary practice location

2000 Central St
Evanston, IL 60201-2218

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190627001336 VT Practitioner - Optometry 6901130756 Reassigns benefits to 1 organization
I20200314000186 IL Practitioner - Optometry 6901130756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Illinois LLCGroup PAC ID 3577869965, 66 clinicians

Practice addresses (Care Compare)

2000 Central St
Evanston, IL 60201-2218
Phone (847) 864-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Jan 28, 2020 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince May 18, 2019 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist CurrentSince May 18, 2019 Accepting new patients
Myeyedr Optometry of Vermont LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Jan 28, 2020 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients

Locations

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

138 N York St
Elmhurst, IL 60126
Phone (630) 279-2020

522 Dempster St
Evanston, IL 60202
Phone (847) 864-5200

2000 Central St
Evanston, IL 60201
Phone (847) 864-0300

146 Center St
Ste 200
Grayslake, IL 60030
Phone (773) 736-6800

312 Tri State Pkwy
Ste 100
Gurnee, IL 60031
Phone (847) 623-3937

463 Central Ave
Highland Park, IL 60035
Phone (847) 266-6400

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

875 N Milwaukee Ave
Unit 300
Vernon Hills, IL 60061
Phone (847) 325-4440

1979 Huntley Rd
West Dundee, IL 60118
Phone (847) 836-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

10 Palmer Rd
Stowe, VT 05672
Phone (802) 253-6322

5399 Williston Rd
Ste 102
Williston, VT 05495
Phone (802) 864-5428

Organizations & group practices 7

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1356906317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012218",
            "telephone_number": "847-864-0300",
            "fax_number": "844-769-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACS",
        "first_name": "MELANIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.