Individual provider Active NPI

Paula Sue Mintchell, O.D.

  • Optometrist
  • Naperville, IL
National Provider Identifier
1619915105
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009355 Issued in IL
Practice address
1995 Springbrook Square Dr
Suite111
Naperville, IL 60564-5951
Phone
(630) 961-0300
Fax
(630) 961-0301
NPI assigned
Jun 4, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3712 FL
Optometrist 152W00000X 046-009355 IL Primary

Addresses

Primary practice location

1995 Springbrook Square Dr
Suite111
Naperville, IL 60564-5951

Mailing address

1995 Springbrook Square Dr
Suite111
Naperville, IL 60564-5951
Phone (630) 961-0300

Other identifiers 2

IdentifierTypeStateIssuer
620782100MedicaidFL
20109OtherFLBCB S OF FLORIDA

Other names 1

  • Paula Sue Meiring Former name

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
I20130121000083 IL Practitioner - Optometry 2466348248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1995 Springbrook Square Dr
Suite 111
Naperville, IL 60564-5952
Phone (630) 961-0300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OPC 3712FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paula S. Mintchell,O.D., P.C. Optometrist CurrentSince Dec 1, 2012 Accepting new patients

Locations

1995 Springbrook Square Dr
Naperville, IL 60564
Phone (630) 369-6644

1995 Springbrook Square Dr
Ste 111
Naperville, IL 60564
Phone (630) 961-0300

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1619915105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 SPRINGBROOK SQUARE DR",
            "address_2": "SUITE111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645951",
            "telephone_number": "630-961-0300",
            "fax_number": "630-961-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 SPRINGBROOK SQUARE DR",
            "address_2": "SUITE111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645951",
            "telephone_number": "630-961-0300",
            "fax_number": "630-961-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTCHELL",
        "first_name": "PAULA",
        "middle_name": "SUE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3712",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620782100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCB S OF FLORIDA",
            "identifier": "20109",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "MEIRING",
            "middle_name": "SUE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.