Michael Destefano, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

046-011583 Issued in IL

Practice address

3250 N Arlington Heights Road Visual Symptoms Treatment
Suite 109
Arlington Heights, IL 60004

Phone

(847) 255-1040

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr Neil W Margolis OD PC

  • Optometrist
  • Arlington Heights, IL
  • NPI 1881812162
  NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1649936188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 NEWKIRK LANE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "60074",
            "telephone_number": "847-691-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N ARLINGTON HEIGHTS ROAD VISUAL SYMPTOMS TREATMENT",
            "address_2": "SUITE 109",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-255-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTEFANO",
        "first_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046-011583",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-011583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sapan S. Desai, M.D., PH.D., MBA
• Theresa Ann Desai, CDE
• Trevor W Desilva, MD
• Joseph Desimone, APN-CNP
• Stuart Dessner, DMD
• Reena Dev, DMD
• Heyer C Devarapalli, MD
• Elizabeth Di Zenzo
• Diabrx Inc (Keefer's Pharmacy)
• Diabrx Inc (Keefer's Pharmacy)

• Vision Therapy Optometrist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Vision Therapy Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.