Individual provider Active NPI

John A. Propati, O.D.

  • Optometrist
  • Shorewood, IL
National Provider Identifier
1699788158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
1401 Il Route 59
Shorewood, IL 60431-8209
Phone
(815) 609-7357
Fax
(815) 609-7359
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

1401 Il Route 59
Shorewood, IL 60431-8209

Mailing address

1321 Natalie LN
Aurora, IL 60504-6857
Phone (630) 585-7191

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
I20051129000277 IL Practitioner - Optometry 6608896436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 W Veterans Pkwy
Suite D
Yorkville, IL 60560-2512
Phone (630) 553-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008553ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
A & G Eyecare Inc Optometrist CurrentSince Dec 15, 2017 Accepting new patients
Yorkville Vision LLC Optometrist CurrentSince Dec 15, 2017 Accepting new patients
Miller Eye Center LTD PastSince May 1, 2017 Accepting new patients

Locations

823 E Church St
Ste B
Sandwich, IL 60548
Phone (815) 786-6369

620 W Veterans Pkwy
Ste D
Yorkville, IL 60560
Phone (630) 553-5400

Organizations & group practices 3

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699788158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NATALIE LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046857",
            "telephone_number": "630-585-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 IL ROUTE 59",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604318209",
            "telephone_number": "815-609-7357",
            "fax_number": "815-609-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROPATI",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, IL

Sources for this page

Verify at the official NPI Registry.