Active NPI
Ross W Mlsna, O.D.
- Optometrist
- Yorkville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008133
- Practice address
- 120 E Countryside Pkwy
Yorkville, IL 60560-1877 - Phone
- (630) 553-6166
- Fax
- (630) 553-6178
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 046008133 | IL | Primary |
Addresses
Primary practice location
120 E Countryside Pkwy
Yorkville, IL 60560-1877
Mailing address
120 E Countryside Pkwy
Yorkville, IL 60560-1877
Phone (630) 553-6166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046008133 | Medicaid | IL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 E Countryside Pkwy
Yorkville, IL 60560-1877
Phone 63055361661002
719 Lincoln Ave
Rochelle, IL 61068-1867
Phone (815) 562-6175
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.05 of 100
- Quality
- 80.09
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brenart Eye Clinic, LLC | Optometrist | Current | Accepting new patients |
| Macqueen Eye Care Center LTD | Optometrist | Current | Accepting new patients |
| Fagman Eye Surgery Associates | Past | Accepting new patients |
Locations
7117 W Archer Ave
Chicago, IL 60638
Phone (773) 586-8444
1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722
120 E Countryside Pkwy
Yorkville, IL 60560
Phone (630) 553-6166
Organizations & group practices 4
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.
-
- Optometrist
- Yorkville, IL
- NPI 1245307636
-
- Optometrist
- Rochelle, IL
- NPI 1760689814
-
- Optometrist
- Chicago, IL
- NPI 1134283724
-
- Ophthalmology Physician
- Skokie, IL
- NPI 1730377011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1457428542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E COUNTRYSIDE PKWY",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601877",
"telephone_number": "630-553-6166",
"fax_number": "630-553-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E COUNTRYSIDE PKWY",
"city": "YORKVILLE",
"state": "IL",
"postal_code": "605601877",
"telephone_number": "630-553-6166",
"fax_number": "630-553-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MLSNA",
"first_name": "ROSS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008133",
"state": "IL"
}
],
"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 Nov 5, 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.