Individual provider Active NPI

Daniel Joshua Press, O.D.

  • Pediatric Optometrist
  • Park Ridge, IL
National Provider Identifier
1790984672
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
046010530 Issued in IL
Practice address
350 S Northwest Hwy Ste 104
Park Ridge, IL 60068-4262
Phone
(847) 823-8283
Fax
(847) 823-1099
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010530 IL
Sports Vision Optometrist 152WS0006X 046010530 IL
Vision Therapy Optometrist 152WV0400X 046010530 IL
Pediatric Optometrist 152WP0200X 046010530 IL Primary

Addresses

Primary practice location

350 S Northwest Hwy Ste 104
Park Ridge, IL 60068-4262

Mailing address

350 S Northwest Hwy Ste 104
Park Ridge, IL 60068-4262
Phone (847) 823-8283

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
I20130208000286 IL Practitioner - Optometry 9537209432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Ridge Vision LLCGroup PAC ID 1052646437, 4 clinicians

Practice addresses (Care Compare)

350 S Northwest Hwy
Suite 104
Park Ridge, IL 60068-4262
Phone (847) 823-8283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010530ILMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Ridge Vision LLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Family Eyecare Associates, PC Optometrist PastSince Nov 20, 2009 Accepting new patients
Visual Performance and Learning Center PC Vision Therapy PastSince Apr 18, 2017 Accepting new patients

Locations

350 S Northwest Hwy
Ste 104
Park Ridge, IL 60068
Phone (847) 518-5353

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1790984672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 104",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "847-823-8283",
            "fax_number": "847-823-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 104",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "847-823-8283",
            "fax_number": "847-823-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESS",
        "first_name": "DANIEL",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010530",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IL",
            "license": "046010530",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046010530",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IL",
            "license": "046010530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.