Individual provider Active NPI

Regina Schwan

  • Optometrist
  • Glen Ellyn, IL
National Provider Identifier
1780781567
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46009776 Issued in IL
Practice address
510 N Main St
Glen Ellyn, IL 60137-5104
Phone
(630) 858-3937
Fax
(630) 243-4687
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0469776 IL
Optometrist 152W00000X 46009776 IL Primary

Addresses

Primary practice location

510 N Main St
Glen Ellyn, IL 60137-5104

Mailing address

2854 N Paulina St
Chicago, IL 60657-4012

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
I20260430000579 IL Practitioner - Optometry 7214404961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Glen Ellyn Family Eye Care LLCGroup PAC ID 4385053982, 2 clinicians

Practice addresses (Care Compare)

510 N Main St
Glen Ellyn, IL 60137-5104
Phone (630) 858-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0469776ILMDOptometrist
46009776ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Ellyn Family Eye Care LLC Optometrist CurrentSince Jun 3, 2025 Accepting new patients
Glen Ellyn Family Eye Care Associates LTD Optometrist PastSince Jun 3, 2025 Accepting new patients

Locations

510 N Main St
Glen Ellyn, IL 60137
Phone (630) 858-3937

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1780781567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375104",
            "telephone_number": "630-858-3937",
            "fax_number": "630-243-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAN",
        "first_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0469776",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

Verify at the official NPI Registry.