Charles Donlea, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009194 Issued in IL

Practice address

1120 W Lake Cook Rd Ste C
Buffalo Grove, IL 60089-1970

Phone

(847) 459-6060

Fax

(847) 459-9797

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Illinois College of Optometry at Chicago, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Eye Care and Surgery LTDGroup PAC ID 6305826520, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdonlea@premiereyecare.imwdirect.com
• Direct secure messaging: charles.donlea.1@3547.direct.athenahealth.com

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.

• Premier Eye Care & Surgery LTD

  • Ophthalmology Physician
  • Buffalo Grove, IL
  • NPI 1306905005
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700950169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LAKE COOK RD STE C",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891970",
            "telephone_number": "847-459-6060",
            "fax_number": "847-459-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LAKE COOK RD STE C",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891970",
            "telephone_number": "847-459-6060",
            "fax_number": "847-459-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLEA",
        "first_name": "CHARLES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Ellis Diveney, RPH
• Lisa Ann Dizon, SLP
• Melissa Arlene Donegan, OTD, OTR/L
• Donets Foot and Ankle PC (Global Podiatry)
• Simon Donets, D.P.M
• Gregory A Douglas, LPC
• Penelope Dowell
• Dr 247 SC
• Dr Dennis a Lind PC
• Dr. Michael J. Simon, D.M.D., P.C.

• Optometrist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.