Individual provider Active NPI

Daniel Hanacek, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1710651906
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011557 Issued in IL
Practice address
2650 N Milwaukee Ave
Chicago, IL 60647-2090
Phone
(773) 697-9735
NPI assigned
Aug 2, 2021
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011557 IL Primary

Addresses

Primary practice location

2650 N Milwaukee Ave
Chicago, IL 60647-2090

Mailing address

10235 Kedvale Ave
Oak Lawn, IL 60453-4239
Phone (708) 945-9121

Other practice location 1

3539 N Southport Ave
Chicago, IL 60657-6447
Phone (773) 871-2020

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
I20250410002174 IL Practitioner - Optometry 1850798570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Des Plaines Eyecare Center LLCGroup PAC ID 0345518080, 2 clinicians

Practice addresses (Care Compare)

782 W Oakton St
Suite a
Des Plaines, IL 60018-1857
Phone (224) 236-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011557ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpec PLLC Optometrist CurrentSince Oct 31, 2025 Accepting new patients
Des Plaines Eyecare Center LLC Optometrist CurrentSince Jan 25, 2025 Accepting new patients
Eyesee LLC Optometrist Past Accepting new patients

Locations

782 W Oakton St
Des Plaines, IL 60018
Phone (224) 236-2020

782 W Oakton St
Ste A
Des Plaines, IL 60018
Phone (224) 236-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1710651906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10235 KEDVALE AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534239",
            "telephone_number": "708-945-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472090",
            "telephone_number": "773-697-9735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3539 N Southport Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576447",
            "country_code": "US",
            "telephone_number": "773-871-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANACEK",
        "first_name": "DANIEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.