Individual provider Active NPI

Evangelos Vatianou, O.D.

  • Optometrist
  • Aurora, IL
National Provider Identifier
1780633347
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009329 Issued in IL
Practice address
2003 Montgomery Rd
Suite 104
Aurora, IL 60504-9078
Phone
(630) 892-1401
Fax
(630) 892-1404
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009329 IL Primary

Addresses

Primary practice location

2003 Montgomery Rd
Suite 104
Aurora, IL 60504-9078

Mailing address

2003 Montgomery Rd
Suite 104
Aurora, IL 60504-9078
Phone (630) 892-1401

Other identifiers 1

IdentifierTypeStateIssuer
046009329MedicaidIL

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
I20040806000188 IL Practitioner - Optometry 9537130174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva Eye Clinic LTDGroup PAC ID 7911042197, 7 clinicians
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians

Practice addresses (Care Compare)

1000 Randall Rd
Suite 100
Geneva, IL 60134-2591
Phone (630) 232-1282

2401 W US Hwy 20
Suite 107
Pingree Grove, IL 60140-8819
Phone (224) 569-1001

Merit-based Incentive Payment System (MIPS)

Final score
91.51 of 100Reported as group
Quality
99.51
Improvement activities
40
Cost
72.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009329ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina J. Levi O D P C Optometrist CurrentSince Nov 9, 2025 Accepting new patients
Geneva Eye Clinic LTD CurrentSince Feb 11, 2024 Accepting new patients
Geneva Eye Clinic LTD Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

165 S Randall Rd
Elgin, IL 60123
Phone (847) 888-1555

1000 Randall Rd
Ste 100
Geneva, IL 60134
Phone (630) 232-1282

2401 W US Highway 20
Ste 107
Pingree Grove, IL 60140
Phone (224) 569-1001

Organizations & group practices 4

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1780633347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MONTGOMERY RD",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605049078",
            "telephone_number": "630-892-1401",
            "fax_number": "630-892-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MONTGOMERY RD",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605049078",
            "telephone_number": "630-892-1401",
            "fax_number": "630-892-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATIANOU",
        "first_name": "EVANGELOS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009329",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.