Individual provider Active NPI

Margaret Cullen-Regan, O.D.

  • Corneal and Contact Management Optometrist
  • Tinley Park, IL
National Provider Identifier
1619950151
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
046008012 Issued in IL
Practice address
9501 171St St
Suite C
Tinley Park, IL 60487-6110
Phone
(708) 403-8300
Fax
(708) 403-8333
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 046008012 IL Primary
Vision Therapy Optometrist 152WV0400X 046008012 IL
Optometrist 152W00000X 046008012 IL

Addresses

Primary practice location

9501 171St St
Suite C
Tinley Park, IL 60487-6110

Mailing address

9501 171St St
Suite C
Tinley Park, IL 60487-6110
Phone (708) 403-8300

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
I20110623000645 IL Practitioner - Optometry 7416949920 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Family Vision Care,Inc.Group PAC ID 5597845305, 2 clinicians
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians
Eligijus P Lelis MD and Associates, SCGroup PAC ID 5890736102, 6 clinicians

Practice addresses (Care Compare)

9501 171St St
Suite C
Tinley Park, IL 60487-6111
Phone (708) 403-8300

963 N 129TH Infantry Dr
Suite 110
Joliet, IL 60435-3103
Phone (815) 725-9377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008012ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Family Vision Care,Inc. Optometrist CurrentSince Feb 20, 2025 Accepting new patients
Fisher-Swale-Nicholson Eye Center SC Optometrist PastSince Feb 20, 2025 Accepting new patients

Locations

963 N 129th Infantry Dr
Ste 110
Joliet, IL 60435
Phone (815) 725-8425

9501 171st St
Ste C
Tinley Park, IL 60487
Phone (708) 403-8300

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1619950151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 171ST ST",
            "address_2": "SUITE C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876110",
            "telephone_number": "708-403-8300",
            "fax_number": "708-403-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 171ST ST",
            "address_2": "SUITE C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876110",
            "telephone_number": "708-403-8300",
            "fax_number": "708-403-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN-REGAN",
        "first_name": "MARGARET",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046008012",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046008012",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.