Active NPI
Donna G. Carver, O.D
- Optometrist
- Crest Hill, IL
National Provider Identifier
1720114499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008493
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03574 | Other | IL | SPECTERA |
| 346484638 | Other | IL | VSP |
| 115683 | Other | IL | EYE MED |
| 3120 | Other | IL | DAVIS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110105000514 | IL | Practitioner - Optometry | 2961691076 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046008493 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Care Center, LTD. | Optometrist | Current | Accepting new patients |
| Albina Optometric | Optometrist | Past | 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.
-
- Optometrist
- Burbank, IL
- NPI 1619475852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.