Individual provider Active NPI

Donna G. Carver, O.D

  • Optometrist
  • Crest Hill, IL
National Provider Identifier
1720114499
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008493 Issued in IL
Practice address
1520 N Rock Run Dr
Suite 2
Crest Hill, IL 60403-3153
Phone
(815) 744-6735
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008493 IL Primary

Addresses

Primary practice location

1520 N Rock Run Dr
Suite 2
Crest Hill, IL 60403-3153

Mailing address

1201 Pleasant PL
Lemont, IL 60439-8534

Other identifiers 4

IdentifierTypeStateIssuer
03574OtherILSPECTERA
346484638OtherILVSP
115683OtherILEYE MED
3120OtherILDAVIS VISION

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
I20110105000514 IL Practitioner - Optometry 2961691076 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008493ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Care Center, LTD. Optometrist CurrentSince Nov 30, 2022 Accepting new patients
Albina Optometric Optometrist PastSince Nov 30, 2022 Accepting new patients

Locations

8525 S Harlem Ave
Oak Lawn, IL 60459
Phone (708) 599-0050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1720114499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT PL",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N ROCK RUN DR",
            "address_2": "SUITE 2",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604033153",
            "telephone_number": "815-744-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "DONNA",
        "middle_name": "G.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "03574",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "346484638",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "115683",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "3120",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

Verify at the official NPI Registry.