Organization Active NPI

McNelis Family Eyecare LTD

  • Optometrist
  • Arlington Heights, IL
National Provider Identifier
1407971252
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008388 Issued in IL
Legal business name
MCNELIS FAMILY EYECARE LTD
Practice address
2010 S Arlington Heights Rd
Suite 121
Arlington Heights, IL 60005-4134
Phone
(847) 621-0633
NPI assigned
Mar 20, 2007
Last updated
Jul 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Mrs. Margaret Mary McNelis, O.DNPI 1326081480
Title
Clinical Director
Phone
(847) 621-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008388 IL Primary

Addresses

Primary practice location

2010 S Arlington Heights Rd
Suite 121
Arlington Heights, IL 60005-4134

Mailing address

2010 S Arlington Heights Rd
Suite 121
Arlington Heights, IL 60005-4134
Phone (847) 621-0633

Other practice location 1

4580 Weaver Pkwy Ste 101
Warrenville, IL 60555-3864
Phone (630) 393-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070509000156 IL Part B Supplier - Clinic/Group Practice 5991801813 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

4580 Weaver Pkwy
Ste 101
Warrenville, IL 60555
Phone (630) 393-4555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1407971252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 121",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054134",
            "telephone_number": "847-621-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 121",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054134",
            "telephone_number": "847-621-0633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4580 Weaver Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605553864",
            "country_code": "US",
            "telephone_number": "630-393-4555",
            "fax_number": "847-621-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCNELIS FAMILY EYECARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "MCNELIS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "847-621-0633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.