Jennifer Wai-Ling Chu, O.D.
Individual provider Active NPI Optometrist · Coal City, IL
NPI 1710326657 · NPPES record last updated May 16, 2018
Key facts
- NPI
- 1710326657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046010684 (IL)
- Practice address
- 20 E North St
Coal City, IL 60416-1087 - Phone
- (815) 634-4825
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of Illinois LLC
Practice addresses (Care Compare)
20 E N St
Coal City, IL 60416-1087
Phone (815) 634-4825
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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 |
|---|---|---|---|---|
| I20180607001375 | IL | Practitioner - Optometry | 9032474374 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046010684 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Past | Accepting new patients |
Locations
5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020
20 E North St
Coal City, IL 60416
Phone (815) 634-4825
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010684 | IL | Yes |
Addresses
Primary practice location
20 E North St
Coal City, IL 60416-1087
Mailing address
20 E North St
Coal City, IL 60416-1087
Phone (815) 634-4825
Other practice location 1
232 S Comet Dr
Braidwood, IL 60408-2028
Phone (815) 458-2338
Other practice location 2
3340 Mall Loop Dr
Joliet, IL 60431-1057
Phone (815) 436-1770
Other providers in Coal City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2018. 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.