Individual provider Active NPI

Diana F Penuela-O'Neill, O.D.

  • Optometrist
  • Algonquin, IL
National Provider Identifier
1366559502
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008362 Issued in IL
Practice address
245 Stonegate Rd
Algonquin, IL 60102-5614
Phone
(847) 658-0120
Fax
(847) 658-0610
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008362 IL Primary

Addresses

Primary practice location

245 Stonegate Rd
Algonquin, IL 60102-5614

Mailing address

245 Stonegate Rd
Algonquin, IL 60102-5614
Phone (847) 658-0120

Other identifiers 3

IdentifierTypeStateIssuer
05605385OtherILBLUE CROSS BLUE SHIELD
5636255OtherILCIGNA
7217471OtherILAETNA

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
I20041217000528 IL Practitioner - Optometry 7416914759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana F Penuela-Oneill PCGroup PAC ID 4183807761, 3 clinicians

Practice addresses (Care Compare)

245 Stonegate Rd
Algonquin, IL 60102-5614
Phone (847) 658-0120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008362ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana F Penuela-Oneill PC Optometrist CurrentSince Mar 18, 2011 Accepting new patients

Locations

245 Stonegate Rd
Algonquin, IL 60102
Phone (847) 658-0120

1650 W Algonquin Rd
Hoffman Estates, IL 60192
Phone (841) 202-7370

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1366559502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STONEGATE RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025614",
            "telephone_number": "847-658-0120",
            "fax_number": "847-658-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STONEGATE RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025614",
            "telephone_number": "847-658-0120",
            "fax_number": "847-658-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENUELA-O'NEILL",
        "first_name": "DIANA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05605385",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5636255",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7217471",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.