Individual provider Active NPI

Daisy Mendez Weiland, O.D.

  • Optometrist
  • Winnetka, IL
National Provider Identifier
1699181826
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010810 Issued in IL
Practice address
548 Chestnut St
Winnetka, IL 60093-2202
Phone
(224) 255-6450
Fax
(224) 255-6271
NPI assigned
Jul 9, 2014
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010810 IL Primary

Addresses

Primary practice location

548 Chestnut St
Winnetka, IL 60093-2202

Mailing address

548 Chestnut St
Winnetka, IL 60093-2202
Phone (224) 255-6450

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
I20140829000518 IL Practitioner - Optometry 5890913040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

548 Chestnut St
Winnetka, IL 60093-2202
Phone (224) 255-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010810ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perspective Eyes LLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Fenner Plastic Surgery, LTD. Past Accepting new patients
Wyse Eyecare SC PastSince Sep 1, 2010 Accepting new patients
Ophthalmic Consultants of Chicago, LLC Past Accepting new patients

Locations

548 Chestnut St
Winnetka, IL 60093
Phone (224) 255-6450

Interoperability endpoints

  • Direct secure messaging: daisy.mendez@uprisedirect.com

Organizations & group practices 5

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1699181826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 CHESTNUT ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932202",
            "telephone_number": "224-255-6450",
            "fax_number": "224-255-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 CHESTNUT ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932202",
            "telephone_number": "224-255-6450",
            "fax_number": "224-255-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "DAISY",
        "middle_name": "MENDEZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

Verify at the official NPI Registry.