Dayra Melissa Macias, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011794 Issued in IL

Practice address

14702 Cicero Ave
Midlothian, IL 60445-3173

Phone

(608) 687-2115

NPI assigned

Sep 14, 2023

Last updated

Sep 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Ken Mia Vision LLC

  dba Pearle Vision

  • Optometrist
  • Midlothian, IL
  • NPI 1487298774
  Medicare reassignment NPD
• Cope Optometrics, Inc

  dba Pearle Vision

  • Optometrist
  • Midlothian, IL
  • NPI 1497942213
  NPD (past)

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694908800000",
    "number": "1679350375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 16TH ST UNIT 1405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14702 CICERO AVE",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453173",
            "telephone_number": "608-687-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "DAYRA",
        "middle_name": "MELISSA",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica L Lewis, APN
• Lacy Carol Little, SLP
• Ruben Manuel Lopez III, LPC
• Elizabeth Lynch, OTR/L
• Marcia Mabin
• Lisa Marie Mangelsdorff, COTA/L
• Karina Martinez, OTR/L
• Elizabeth C McCarthy
• Ellen Meyers-Hafner, MS CCC-SLP
• Midlothian Family Dental LTD.

• Optometrist in Midlothian, IL
• Providers in Midlothian, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; 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.