Individual provider Active NPI

Benjamin Meyette

  • Optometrist
  • Chicago, IL
National Provider Identifier
1417637927
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046012056 Issued in IL
Practice address
3500 W Peterson Ave Ste 401
Chicago, IL 60659-3307
Phone
(773) 588-3090
NPI assigned
Jul 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046012056 IL Primary

Addresses

Primary practice location

3500 W Peterson Ave Ste 401
Chicago, IL 60659-3307

Mailing address

200 E Delaware PL Apt 4B
Chicago, IL 60611-1743
Phone (720) 470-0301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231019001377 CO Practitioner - Optometry 1850747361 Reassigns benefits to 2 organizations
I20251124003678 IL Practitioner - Optometry 1850747361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians
Charles S Ovitsky PCGroup PAC ID 7012175102, 14 clinicians

Practice addresses (Care Compare)

1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747

3400 E Bayaud Ave
Suite 485
Denver, CO 80209-3000
Phone (303) 321-1606

3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3307
Phone (773) 588-3090

8677 S Quebec St
Suite a
Highlands Ranch, CO 80130-3052
Phone (303) 794-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046012056ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abba Eye Care PC Optometrist CurrentSince Apr 19, 2024 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Apr 19, 2024 Accepting new patients
Charles S Ovitsky PC Optometrist CurrentSince Nov 12, 2025 Accepting new patients
Doctors Optical, Inc. PastSince Jul 23, 2023 Accepting new patients

Locations

5640 S Parker Rd
Aurora, CO 80015
Phone (303) 369-2020

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

1685 S Colorado Blvd
Unit O
Denver, CO 80222
Phone (303) 757-6747

3500 W Peterson Ave
Ste 401
Chicago, IL 60659

1000 Palm Ave
Mattoon, IL 61938
Phone (217) 234-7403

350 W South 1st St
Red Bud, IL 62278
Phone (618) 282-3891

1100 S Lewis Ave
Waukegan, IL 60085
Phone (847) 244-8196

Organizations & group practices 5

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1417637927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E DELAWARE PL APT 4B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111743",
            "telephone_number": "720-470-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W PETERSON AVE STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593307",
            "telephone_number": "773-588-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYETTE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046012056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.