Michael Mlynski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

46-007640 Issued in IL

Practice address

2463 Richmond Rd
McHenry, IL 60050-1017

Phone

(815) 528-1031

Fax

(815) 332-7283

NPI assigned

Dec 11, 2006

Last updated

May 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pearle Vision Inc

  dba Pearle Vision #C6672

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)
• Stein Optical Inc.

  dba Stein Optical

  • Optometrist
  • Milwaukee, WI
  • NPI 1801829551
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1730249830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 RICHMOND RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600501017",
            "telephone_number": "815-528-1031",
            "fax_number": "815-332-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 RICHMOND RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600501017",
            "telephone_number": "815-528-1031",
            "fax_number": "815-332-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLYNSKI",
        "first_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-007640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Mitchell
• Deepak Mitra, MD
• Prodyot Kumar Mitra, MD
• Sanjukta Mitra, MD
• Kelsey Ann Mix, PT, DPT, MS,CMTPT/DN
• Lee Gregory Mohr
• Yuriy O Moklyak, M.D.
• Louina N. Molina, APRN, APNP-F
• Teri L. Molitor
• Marisa Monbrod

• Optometrist in McHenry, IL
• Providers in McHenry, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.

Verify at the official NPI Registry.