Individual provider Active NPI

Meghan T Walsh, O.D.

  • Optometrist
  • Lemont, IL
National Provider Identifier
1639551591
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010900 Issued in IL
Practice address
1060 State St
Lemont, IL 60439-4257
Phone
(630) 283-2426
NPI assigned
Jun 26, 2015
Last updated
May 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010900 IL Primary

Addresses

Primary practice location

1060 State St
Lemont, IL 60439-4257

Mailing address

9750 Crescent Park Cir Unit 346
Orland Park, IL 60462-7506
Phone (708) 574-5687

Other practice location 1

10434 S Kedzie Ave
Chicago, IL 60655-2018
Phone (773) 445-2700

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
I20151231001233 IL Practitioner - Optometry 0042512477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

730 N Milwaukee Ave
Libertyville, IL 60048-1914

9812 Tulley Ave
Oak Lawn, IL 60453-3079

PO Box J
Raynham, MA 02767

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010900ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Lemont PLLC Optometrist CurrentSince Mar 7, 2025 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Devito Eye Care, LLC Optometrist PastSince Sep 23, 2024 Accepting new patients
Brain-Eye Evolution at 730 North PastSince Jan 4, 2016 Accepting new patients

Locations

1060 State St
Lemont, IL 60439
Phone (630) 283-2426

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, 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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1639551591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 CRESCENT PARK CIR UNIT 346",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627506",
            "telephone_number": "708-574-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 STATE ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394257",
            "telephone_number": "630-283-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10434 S Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606552018",
            "country_code": "US",
            "telephone_number": "773-445-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MEGHAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

Verify at the official NPI Registry.