Active NPI
Peter F Mueller, O.D.
- Optometrist
- Darien, IL
National Provider Identifier
1437238680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 46-007003
- Practice address
- 7511 Lemont Rd
#194
Darien, IL 60561-4394 - Phone
- (630) 985-2202
- Fax
- (630) 985-2111
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 46-007003 | IL | Primary |
Addresses
Primary practice location
7511 Lemont Rd
#194
Darien, IL 60561-4394
Mailing address
7511 Lemont Rd
#194
Darien, IL 60561-4394
Phone (630) 985-2202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070507000078 | IL | Practitioner - Optometry | 8325144470 | Practice locations: Darien, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2620 W 83Rd St
Darien, IL 60561-1661
Phone (630) 985-2202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46-007003 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437238680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7511 LEMONT RD",
"address_2": "#194",
"city": "DARIEN",
"state": "IL",
"postal_code": "605614394",
"telephone_number": "630-985-2202",
"fax_number": "630-985-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7511 LEMONT RD",
"address_2": "#194",
"city": "DARIEN",
"state": "IL",
"postal_code": "605614394",
"telephone_number": "630-985-2202",
"fax_number": "630-985-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "PETER",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "46-007003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.