Individual provider Active NPI

Lindsey Stull, O.D

  • Vision Therapy Optometrist
  • Naperville, IL
National Provider Identifier
1396940920
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
046010926 Issued in IL
Practice address
1891 Bay Scott Cir
Suite 109
Naperville, IL 60540-1137
Phone
(630) 881-7763
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 046010926 IL Primary
Vision Therapy Optometrist 152WV0400X 4901004454 MI

Addresses

Primary practice location

1891 Bay Scott Cir
Suite 109
Naperville, IL 60540-1137

Mailing address

1891 Bay Scott Cir
Suite 109
Naperville, IL 60540-1137
Phone (630) 881-7763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 6, 2016 through May 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010926ILMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Mobile Vision, PLLC PastSince May 7, 2020 Accepting new patients
Holicki Optical Inc Vision Therapy Past Accepting new patients

Organizations & group practices 2

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1396940920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 BAY SCOTT CIR",
            "address_2": "SUITE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401137",
            "telephone_number": "630-881-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 BAY SCOTT CIR",
            "address_2": "SUITE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401137",
            "telephone_number": "630-881-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "LINDSEY",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046010926",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": "4901004454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.