Active NPI
Mark M Alles, O.D.
- Optometrist
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-008527
- Practice address
- 963 N. 129TH Infantry Dr.
Suite 110
Joliet, IL 60435 - Phone
- (815) 725-9377
- Fax
- (815) 725-9358
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-008527 | IL | Primary |
Addresses
Primary practice location
963 N. 129TH Infantry Dr.
Suite 110
Joliet, IL 60435
Mailing address
963 N. 129TH Infantry Dr.
Suite 110
Joliet, IL 60435-3103
Phone (815) 725-9377
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041208001182 | IL | Practitioner - Optometry | 4587620745 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Insight Family Vision Care,Inc.Christina J. Levi O D P C.Eligijus P Lelis MD and Associates, SC
Practice addresses (Care Compare)
9501 171St St
Suite C
Tinley Park, IL 60487-6111
Phone (708) 403-8300
963 N 129TH Infantry Dr
Suite 110
Joliet, IL 60435-3103
Phone (815) 725-9377
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-008527 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Family Vision Care,Inc. | Optometrist | Current | Accepting new patients |
| Cole Vision Corporation | Past | Accepting new patients | |
| Eligijus P Lelis MD & Associates, SC | Past | Accepting new patients | |
| Cole Vision Corporation | Optometrist | Past | Accepting new patients |
| Luxottica Retail North America Inc | Past | Accepting new patients | |
| Fisher-Swale-Nicholson Eye Center SC | Optometrist | Past | Accepting new patients |
Locations
963 N 129th Infantry Dr
Ste 110
Joliet, IL 60435
Phone (815) 725-8425
9501 171st St
Tinley Park, IL 60487
Phone 708532602931271
9501 171st St
Ste C
Tinley Park, IL 60487
Phone (708) 403-8300
Interoperability endpoints
- malles@eplmvp.intellechartdirect.net
Organizations & group practices 8
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.
-
- Optician
- Oak Forest, IL
- NPI 1801983051
-
- Durable Medical Equipment & Medical Supplies
- New Lenox, IL
- NPI 1619205077
-
- Ophthalmology Physician
- Bourbonnais, IL
- NPI 1639277940
Optometrist
-
- Optometrist
- Mason, OH
- NPI 1508903295
-
- Eyewear Supplier
- Las Cruces, NM
- NPI 1972652071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1366535528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "963 N. 129TH INFANTRY DR.",
"address_2": "SUITE 110",
"city": "JOLIET",
"state": "IL",
"postal_code": "604353103",
"telephone_number": "815-725-9377",
"fax_number": "815-725-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 N. 129TH INFANTRY DR.",
"address_2": "SUITE 110",
"city": "JOLIET",
"state": "IL",
"postal_code": "60435",
"telephone_number": "815-725-9377",
"fax_number": "815-725-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLES",
"first_name": "MARK",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-008527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.