Michele Montalbano, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008820 Issued in IL

Practice address

2197 Blackberry Dr Ste a
Geneva, IL 60134-4713

Phone

(630) 365-2020

Fax

(630) 365-9828

NPI assigned

Oct 16, 2006

Last updated

Mar 7, 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

Other identifiers 4

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

University of Houston - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Valley Vision Center LTD

  • Optometrist
  • Geneva, IL
  • NPI 1407043177
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699855569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 BLACKBERRY DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344713",
            "telephone_number": "630-365-2020",
            "fax_number": "630-365-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 BLACKBERRY DR STE A",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344713",
            "telephone_number": "630-365-2020",
            "fax_number": "630-365-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALBANO",
        "first_name": "MICHELE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04532352",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN/ ORGANIZATION",
            "identifier": "IL6941",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN/ INDIVIDUAL",
            "identifier": "IL6941001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/UNITED HEALTHCARE",
            "identifier": "1407043177",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily N Moller
• Mark M Mondul, DPM
• Kathryn Anne Montague, CRNA
• Patrick J Montague, CRNA
• Emily Montalbano
• Franklin Del Rosario Montellano, M.D.
• Danielle Nicole Morales
• David R Morawski, M.D.
• Susannah More, PH.D.
• Kenneth P Moresco, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.