Individual provider Active NPI

Phillip Kaltenthaler, OD

  • Optometrist
  • Elgin, IL
National Provider Identifier
1689503088
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.012130 Issued in IL
Practice address
502 Waverly Dr
Elgin, IL 60120-4082
Phone
(847) 697-7771
NPI assigned
May 14, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.012130 IL Primary

Addresses

Primary practice location

502 Waverly Dr
Elgin, IL 60120-4082

Mailing address

20006 Wolf Rd
Mokena, IL 60448-1320

Other practice location 1

20006 Wolf Rd
Mokena, IL 60448-1320
Phone (708) 478-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7540 Gladstone Dr
Unit 205
Naperville, IL 60565-6140

7540 Gladstone Dr Unit
Suite 205
Naperville, IL 60565-6143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Eye Care Clinic LTD Optometrist CurrentSince Aug 1, 2026 Accepting new patients

Locations

502 Waverly Dr
Elgin, IL 60120
Phone (847) 697-7771

20771 N Rand Rd
Ste I-2
Kildeer, IL 60047
Phone (847) 697-7771

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1689503088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20006 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WAVERLY DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204082",
            "telephone_number": "847-697-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20006 Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604481320",
            "country_code": "US",
            "telephone_number": "708-478-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALTENTHALER",
        "first_name": "PHILLIP",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.012130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.