Aubrey D Breithaupt, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011759 Issued in IL

Practice address

3450 Lacey Rd
Downers Grove, IL 60515-5430

Phone

(630) 743-4500

Fax

(623) 806-7689

NPI assigned

Jul 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Aubrey Marie Dyl Former name

Medicare fee-for-service enrollment

Enrolled in TX, IL2 enrollments

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 2

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois College of OptometryGroup PAC ID 7416851639, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: aubrey.breithaupt.iei@direct.ico.nextgenshare.com

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.

• Illinois College of Optometry

  dba Illinois Eye Institute

  • Optometrist
  • Chicago, IL
  • NPI 1285612390
  Medicare reassignment Care Compare group NPD
• University of the Incarnate Word

  dba Eye & Vision Care Clinic

  • Optometrist
  • San Antonio, TX
  • NPI 1003129784
  Medicare reassignment NPD
• Midwestern University

  dba MWU Multispecialty Clinic Downers Grove

  • Clinic/Center
  • Downers Grove, IL
  • NPI 1538445317
  Medicare reassignment
• University of the Incarnate Word

  dba Nursing Cardinal Clinic

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1033591706
  NPD
• Holicki Optical Inc

  • Durable Medical Equipment & Medical Supplies
  • Coldwater, MI
  • NPI 1386637957

  Optometrist

  NPD (past)
• Ocvt Westlake Corporation

  dba The Optometry Center for Vision Therapy

  • Vision Therapy Optometrist
  • Austin, TX
  • NPI 1619246808
  NPD (past)

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1649687534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LACEY RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155430",
            "telephone_number": "630-743-4500",
            "fax_number": "623-806-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LACEY RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155430",
            "telephone_number": "630-743-4500",
            "fax_number": "623-806-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITHAUPT",
        "first_name": "AUBREY",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046011759",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "DYL",
            "middle_name": "MARIE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Ayuste Boyle, M.D.
• Elizabeth Boyles
• Keith M Bram, D.D.S.
• Renee J. Branch, M.S., CCC-SLP
• Anna B Branski, MA, BCBA
• Khin Khin Bremer, MD
• William Michael Brennan Sr., DDS
• William Michael Brennan Jr., D.D.S.
• Frank W Bresemann, MA,LCPC
• Katie Jo Bresson, M.A. SLP

• Optometrist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.

Verify at the official NPI Registry.