Individual provider Active NPI

Mark M Alles, O.D.

  • Optometrist
  • Joliet, IL
National Provider Identifier
1366535528
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008527 Issued in IL
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

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008527 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 5597845305, 2 clinicians
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians
Eligijus P Lelis MD and Associates, SCGroup PAC ID 5890736102, 6 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008527ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Family Vision Care,Inc. Optometrist CurrentSince Oct 1, 2007 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 PastSince Oct 1, 2007 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.