Individual provider Active NPI

Bisma Munir

  • Optometrist
  • Yorkville, IL
National Provider Identifier
1457187627
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011921 Issued in IL
Practice address
825 E Veterans Pkwy
Yorkville, IL 60560-2216
Phone
(331) 207-2909
Fax
(331) 207-2910
NPI assigned
Sep 12, 2024
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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 046.011921 IL Primary

Addresses

Primary practice location

825 E Veterans Pkwy
Yorkville, IL 60560-2216

Mailing address

3748 Sunburst LN
Naperville, IL 60564-8249
Phone (331) 425-2102

Other practice location 1

1330 N Larkin Ave
Joliet, IL 60435-3765
Phone (815) 553-0912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046.011921ILMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1457187627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 SUNBURST LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648249",
            "telephone_number": "331-425-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E VETERANS PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602216",
            "telephone_number": "331-207-2909",
            "fax_number": "331-207-2910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 N Larkin Ave",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604353765",
            "country_code": "US",
            "telephone_number": "815-553-0912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIR",
        "first_name": "BISMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.