Myeyedr Optometry of Illinois, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR OPTOMETRY OF ILLINOIS, LLC

Doing business as

MyEyeDr.

Practice address

210 N York St Ste 102
Elmhurst, IL 60126-2706

Phone

(630) 834-7710

Fax

(630) 834-7716

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• MyEyeDr. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Dabrowski

  • Optometrist
  • Vernon Hills, IL
  • NPI 1326303520
  NPD
• Kathleen Michele Kasmer, O.D.

  • Optometrist
  • Bolingbrook, IL
  • NPI 1417033457
  NPD
• Mubashra S Tahir, O.D.

  • Optometrist
  • Lansing, IL
  • NPI 1972626240
  NPD
• Yasmeen Kazkaz

  • Optometrist
  • Sylvania, OH
  • NPI 1609560291
  NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1407402928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N YORK ST STE 102",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262706",
            "telephone_number": "630-834-7710",
            "fax_number": "630-834-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elmer Murdock, M.D.
• Isabella Eden Murphy
• Meghan Blake Murray
• Jacqueline Myers
• Myeyedr Optometry of Illinois, LLC
• Piotr Kamil Myszka, PHARM. D.
• Julia Nader
• Brett Nagel
• Samantha Nagel
• Nagpal-Arora and Associates S.C.

• Optometrist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.