Individual provider Active NPI

Bertram P. Irslinger, OD.

  • Sports Vision Optometrist
  • McHenry, IL
National Provider Identifier
1386653806
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Vision OptometristTaxonomy code 152WS0006X
Practice address
409 Front St
McHenry, IL 60050-5527
Phone
(815) 385-1590
Fax
(815) 385-1605
NPI assigned
Aug 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL
Corneal and Contact Management Optometrist 152WC0802X IL
Sports Vision Optometrist 152WS0006X IL Primary
Occupational Vision Optometrist 152WX0102X IL

Addresses

Primary practice location

409 Front St
McHenry, IL 60050-5527

Mailing address

409 Front St
McHenry, IL 60050-5527
Phone (815) 385-1590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007189ILMDCorneal and Contact Management Optometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1386653806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 FRONT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505527",
            "telephone_number": "815-385-1590",
            "fax_number": "815-385-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 FRONT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505527",
            "telephone_number": "815-385-1590",
            "fax_number": "815-385-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRSLINGER",
        "first_name": "BERTRAM",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "OD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.