Individual provider Active NPI

Natalie T Cepynsky, OD

  • Optometrist
  • Wheaton, IL
National Provider Identifier
1831256171
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046 007880 Issued in IL
Practice address
1275 Butterfield Rd Ste 104
Wheaton, IL 60189-8849
Phone
(630) 665-6560
Fax
(630) 665-8760
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046 007880 IL Primary

Addresses

Primary practice location

1275 Butterfield Rd Ste 104
Wheaton, IL 60189-8849

Mailing address

1231 Butterfield Rd
Wheaton, IL 60189-8809
Phone (630) 665-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130211000512 IL Practitioner - Optometry 5496860199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046 007880ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Bridges Eye Care LLC Optometrist PastSince May 15, 2017 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1831256171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 BUTTERFIELD RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898809",
            "telephone_number": "630-665-6560",
            "fax_number": "630-665-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 BUTTERFIELD RD STE 104",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898849",
            "telephone_number": "630-665-6560",
            "fax_number": "630-665-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPYNSKY",
        "first_name": "NATALIE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046 007880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.