Active NPI
Paula Sue Mintchell, O.D.
- Optometrist
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009355
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620782100 | Medicaid | FL | |
| 20109 | Other | FL | BCB S OF FLORIDA |
Other names 1
- Paula Sue Meiring
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, 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3712 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paula S. Mintchell,O.D., P.C. | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.