Active NPI
Daniel Benjamin Myers, O.D.
- Optometrist
- Winnetka, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3289
- Practice address
- 910 Green Bay Rd
Winnetka, IL 60093-1719 - Phone
- (636) 399-5826
- NPI assigned
- Jun 12, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 3289 | MN | Primary |
Addresses
Primary practice location
910 Green Bay Rd
Winnetka, IL 60093-1719
Mailing address
910 Green Bay Rd
Winnetka, IL 60093-1719
Phone (636) 399-5826
Other practice location 1
1790 Lexington Ave N
Roseville, MN 55113-6167
Phone (651) 488-6771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NY, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
910 Green Bay Rd
Winnetka, IL 60093-1719
Phone (847) 386-9045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009728 | NY | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Current | Accepting new patients | |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
Locations
239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286
2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133
2825 S Glenstone Ave
Ste F11
Springfield, MO 65804
Phone (417) 882-3692
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
Organizations & group practices 6
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": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1639431000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 GREEN BAY RD",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600931719",
"telephone_number": "636-399-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 GREEN BAY RD",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600931719",
"telephone_number": "636-399-5826"
}
],
"practiceLocations": [
{
"address_1": "1790 Lexington Ave N",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MN",
"postal_code": "551136167",
"country_code": "US",
"telephone_number": "651-488-6771",
"fax_number": "651-488-5576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "DANIEL",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-12",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winnetka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.