Miki Kitahata, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008170 Issued in IL

Practice address

427 Hamilton St
Geneva, IL 60134-2136

Phone

(630) 232-7112

Fax

(630) 232-7160

NPI assigned

Aug 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wheaton Eye Clinic LTDGroup PAC ID 2860475944, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.63 of 100Reported as apm

Quality

88.47

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wheaton Eye Clinic LTD

  dba Wheaton Eye Clinic

  • Ophthalmology Physician
  • Wheaton, IL
  • NPI 1801883004
  Medicare reassignment Care Compare group NPD
• Wheaton Eye Clinic LTD

  dba Wheaton Eye Clinic

  • Ophthalmology Physician
  • Wheaton, IL
  • NPI 1588647101

  Optometrist

  NPD
• Wheaton Eye Clinic LTD

  dba Wheaton Eye Clinic

  • Ophthalmology Physician
  • Naperville, IL
  • NPI 1497730790

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1125100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1568455277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 HAMILTON ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342136",
            "telephone_number": "630-232-7112",
            "fax_number": "630-232-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HAMILTON ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342136",
            "telephone_number": "630-232-7112",
            "fax_number": "630-232-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 N Main St",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601873190",
            "country_code": "US",
            "telephone_number": "630-668-8250",
            "fax_number": "630-668-8916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITAHATA",
        "first_name": "MIKI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-27",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046-008170",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Kim, M.D.
• Kevin M King, MD
• Lesliann King, ED.D.
• Eric Andrew Kirkman, PTA
• Alexis Kissane, RBT-18-47109
• Anthony William Kitslaar, MD
• Rose Marie Klein, LPC
• KLG Counseling Services, P.C.
• Bryanna Klinetobe
• Amanda Klosterman, D.C.

• Optometrist in Geneva, IL
• Providers in Geneva, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.

Verify at the official NPI Registry.