Individual provider Active NPI

Dana Devito, OD

  • Optometrist
  • Naperville, IL
National Provider Identifier
1669256350
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011761 Issued in IL
Practice address
1212 S Naper Blvd Ste 114
Naperville, IL 60540-7300
Phone
(630) 357-6662
NPI assigned
Aug 23, 2023
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 046011761 IL Primary

Addresses

Primary practice location

1212 S Naper Blvd Ste 114
Naperville, IL 60540-7300

Mailing address

1212 S Naper Blvd Ste 114
Naperville, IL 60540-7300
Phone (630) 357-6662

Other practice location 1

9400 S Roberts Rd
Hickory Hills, IL 60457-2326
Phone (708) 598-1322

Other practice location 2

15933 S Bell Rd
Homer Glen, IL 60491-6707
Phone (708) 301-3101

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
I20240405001858 IL Practitioner - Optometry 6901244227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2023
Medicare assignment
May accept Medicare assignment
Group practices
John J Gardner OD PCGroup PAC ID 8022078377, 3 clinicians

Practice addresses (Care Compare)

1212 S Naper Blvd
Suite 114
Naperville, IL 60540-7300
Phone (269) 254-3616

9400 S Roberts Rd
Hickory Hills, IL 60457-2326
Phone (708) 598-1322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011761ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Eye Care Inc. Optometrist CurrentSince Mar 12, 2024 Accepting new patients
Homer Glen Vision Source LLC Optometrist CurrentSince Mar 12, 2024 Accepting new patients
Devito Eye Care, LLC Optometrist CurrentSince Dec 1, 2024 Accepting new patients
John J. Gardner, O.D., P.C. Optometrist CurrentSince Jan 9, 2024 Accepting new patients

Locations

9400 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 598-1322

15933 S Bell Rd
Homer Glen, IL 60491
Phone (708) 301-3101

1212 S Naper Blvd
Ste 114
Naperville, IL 60540
Phone (269) 254-3616

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1669256350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S NAPER BLVD STE 114",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407300",
            "telephone_number": "630-357-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S NAPER BLVD STE 114",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407300",
            "telephone_number": "630-357-6662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 S Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Hickory Hills",
            "state": "IL",
            "postal_code": "604572326",
            "country_code": "US",
            "telephone_number": "708-598-1322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15933 S Bell Rd",
            "address_purpose": "LOCATION",
            "city": "Homer Glen",
            "state": "IL",
            "postal_code": "604916707",
            "country_code": "US",
            "telephone_number": "708-301-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVITO",
        "first_name": "DANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.