Individual provider Active NPI

Daniel Meus, O.D.

  • Optometrist
  • Worth, IL
National Provider Identifier
1619020666
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007836 Issued in IL
Practice address
6967 W 111TH St
Worth, IL 60482-1824
Phone
(708) 448-7988
NPI assigned
Jan 20, 2007
Last updated
Nov 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-007836 IL Primary

Addresses

Primary practice location

6967 W 111TH St
Worth, IL 60482-1824

Mailing address

6967 W 111TH St
Worth, IL 60482-1824

Other identifiers 1

IdentifierTypeStateIssuer
01633540OtherILBLUE CROSS BLUE SHIELD

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
I20040424000201 IL Practitioner - Optometry 8224024195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6967 W 111TH St
Worth, IL 60482-1842

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-007836ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Meus Family Vision Care LLC Optometrist CurrentSince Jul 28, 2022 Accepting new patients
Leon J. Kosek, O.D. Optometrist PastSince Sep 7, 2022 Accepting new patients

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": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1619020666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6967 W 111TH ST",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6967 W 111TH ST",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821824",
            "telephone_number": "708-448-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUS",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01633540",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worth, IL

Sources for this page

Verify at the official NPI Registry.