Active NPI
Maryjo McCartan, OD
- Optometrist
- Orland Park, IL
National Provider Identifier
1619214301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008779
- Practice address
- 24 Orland Square Dr
Orland Park, IL 60462-3207 - Phone
- (708) 403-3555
- Fax
- (708) 403-6602
- NPI assigned
- Jan 15, 2013
- Last updated
- Apr 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 046008779 | IL | Primary |
Addresses
Primary practice location
24 Orland Square Dr
Orland Park, IL 60462-3207
Mailing address
2600 N Southport Ave
#209
Chicago, IL 60614-1134
Phone (773) 590-4740
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Orland Square Dr
Orland Park, IL 60462-3207
Phone (708) 403-3555
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046008779 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gervais-Floyd, LTD | Optometrist | Current | Accepting new patients |
Locations
24 Orland Square Dr
Orland Park, IL 60462
Phone (708) 403-3555
Organizations & group practices 1
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": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714262400000",
"number": "1619214301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N SOUTHPORT AVE",
"address_2": "#209",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141134",
"telephone_number": "773-590-4740",
"fax_number": "708-403-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 ORLAND SQUARE DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623207",
"telephone_number": "708-403-3555",
"fax_number": "708-403-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTAN",
"first_name": "MARYJO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2024-04-28",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.