Individual provider Active NPI

Hellen Yun, OD

  • Optometrist
  • Joliet, IL
National Provider Identifier
1841442159
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010163 Issued in IL
Practice address
3340 Mall Loop Dr
Ste. 1442
Joliet, IL 60431-1057
Phone
(815) 436-1582
Fax
(815) 436-0497
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010163 IL Primary

Addresses

Primary practice location

3340 Mall Loop Dr
Ste. 1442
Joliet, IL 60431-1057

Mailing address

11103 West Ave
Ste. 6
San Antonio, TX 78213-1370
Phone (210) 524-6663

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
I20090130000578 IL Practitioner - Optometry 1951465210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3150 N Aurora Rd
Unit I
Aurora, IL 60502-3802
Phone (847) 287-7766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010163ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Eyes LLC Optometrist CurrentSince Jul 8, 2016 Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients
Visionworks, Inc Past Accepting new patients

Locations

3150 N Aurora Rd
Unit I
Aurora, IL 60502
Phone (630) 340-4530

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": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1841442159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "STE. 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 MALL LOOP DR",
            "address_2": "STE. 1442",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604311057",
            "telephone_number": "815-436-1582",
            "fax_number": "815-436-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "HELLEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.