Individual provider Active NPI

Milana Matz, O.D.

  • Optometrist
  • Northbrook, IL
National Provider Identifier
1609251297
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010934 Issued in IL
Practice address
1004 Northbrook CT
Northbrook, IL 60062-1403
Phone
(847) 564-3310
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010934 IL Primary

Addresses

Primary practice location

1004 Northbrook CT
Northbrook, IL 60062-1403

Mailing address

15 S Throop St
Unit 508
Chicago, IL 60607-2517

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019000988 IL Practitioner - Optometry 4385932615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Care and Surgery LTDGroup PAC ID 6305826520, 8 clinicians

Practice addresses (Care Compare)

1120 W Lake Cook Rd
Suite C
Buffalo Grove, IL 60089-1970
Phone (847) 459-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010934ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eye Care & Surgery LTD CurrentSince Mar 22, 2021 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1120 W Lake Cook Rd
Ste C
Buffalo Grove, IL 60089
Phone (847) 459-6060

Interoperability endpoints

  • Direct secure messaging: milanamatz@premiereyecare.imwdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1609251297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S THROOP ST",
            "address_2": "UNIT 508",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 NORTHBROOK CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621403",
            "telephone_number": "847-564-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZ",
        "first_name": "MILANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.