Individual provider Active NPI

Michael D Macek, OD

  • Optometrist
  • Downers Grove, IL
National Provider Identifier
1376550061
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008708 Issued in IL
Practice address
4958 Forest Ave
Downers Grove, IL 60515-3508
Phone
(630) 737-1001
Fax
(630) 737-1003
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008708 IL Primary

Addresses

Primary practice location

4958 Forest Ave
Downers Grove, IL 60515-3508

Mailing address

4958 Forest Ave
Downers Grove, IL 60515-3508
Phone (630) 737-1001

Other identifiers 2

IdentifierTypeStateIssuer
1801997655OtherILBCBS
2234272OtherILBCBS

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
I20040206000029 IL Practitioner - Optometry 7517850332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downers Grove Eye Center PCGroup PAC ID 3173416989, 5 clinicians

Practice addresses (Care Compare)

4958 Forest Ave
Downers Grove, IL 60515-3508
Phone (630) 737-1001

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Quality
99.1
Improvement activities
40
Cost
92.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008708ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Downers Grove Eye Center, PC Optometrist CurrentSince Aug 8, 2012 Accepting new patients

Locations

4958 Forest Ave
Downers Grove, IL 60515
Phone (630) 737-1001

3825 Highland Ave
Ste 204
Downers Grove, IL 60515
Phone (630) 737-1001

Interoperability endpoints

  • Direct secure messaging: michael.macek.p1@direct.dgeyecenter.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.macek.p1@direct.hinsdaleeyecenter.nextgenshare.com

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1376550061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153508",
            "telephone_number": "630-737-1001",
            "fax_number": "630-737-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153508",
            "telephone_number": "630-737-1001",
            "fax_number": "630-737-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEK",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1801997655",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2234272",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.