Myeyedr Optometry of Illinois, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR OPTOMETRY OF ILLINOIS, LLC

Practice address

2555 W 75TH St
Ste 119
Naperville, IL 60540-9441

Phone

(630) 225-7020

Fax

(630) 995-9772

NPI assigned

Dec 18, 2015

Organization subpart

No

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil Alan Boldus, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1992823462
  NPD OPTOMETRIST
• Cheryl D Downing, OD

  • Optometrist
  • Aurora, IL
  • NPI 1295847481
  NPD OPTOMETRIST
• Hana Tulemat

  • Optometrist
  • Joliet, IL
  • NPI 1841084225
  NPD OPTOMETRIST

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in IL

Locations

• MyEyeDr. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 26, 2022.

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1588029490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 W 75TH ST",
            "address_2": "STE 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409441",
            "telephone_number": "630-225-7020",
            "fax_number": "630-995-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Ann Myers, DOTR/L
• Matthew Myers, PA-C
• Samantha Myers
• Vannesa Marie Myers
• David Neill Myerson, M.D.
• Myeyedr Optometry of Illinois, LLC
• Susan Myket
• Victoria Myler
• Joy Myong, MS, LPC, CADC
• Christine Nacar

• All providers in Naperville, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.