Daniel Ahrens
Individual provider Active NPI Optometrist · Blue Island, IL
NPI 1700299658 · NPPES record last updated Nov 3, 2014
Key facts
- NPI
- 1700299658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046010807 (IL)
- Practice address
- 13114 S Western Ave
Blue Island, IL 60406 - Phone
- (708) 388-1228
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meyer Eyecare Inc
Practice addresses (Care Compare)
13114 Western Ave
Suite 1
Blue Island, IL 60406-2440
Phone (708) 388-1228
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140708001824 | IL | Practitioner - Optometry | 6800011834 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046010807 | IL | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meyer Eyecare Inc | Optometrist | Current |
Accepting new patients |
| Lilas Eye Care and Associates, LLC | Optometrist | Current |
Accepting new patients |
Locations
13114 Western Ave
Ste 1
Blue Island, IL 60406
Phone (708) 388-1228
13114 Western Ave
Blue Island, IL 60406
Phone (708) 388-1228
14706 S La Grange Rd
Orland Park, IL 60462
Phone (708) 403-7844
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010807 | IL | Yes |
| Corneal and Contact Management Optometrist | 152WC0802X | 046010807 | IL | |
| Pediatric Optometrist | 152WP0200X | 046010807 | IL | |
| Vision Therapy Optometrist | 152WV0400X | 046010807 | IL |
Addresses
Primary practice location
13114 S Western Ave
Blue Island, IL 60406
Mailing address
13114 S Western Ave
Blue Island, IL 60406
Phone (708) 388-1228
Other providers in Blue Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.