Autumn Blaire M Durias, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

000000000 Issued in IL

Practice address

102 Stratford Square Mall
Bloomingdale, IL 60108-2202

Phone

(630) 893-7688

Fax

(630) 893-0420

NPI assigned

Jul 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2011

Medicare assignment

May accept Medicare assignment

Group practices

In Focus Eyecare PCGroup PAC ID 0143520122, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• In Focus Eyecare P.C.

  • Optometrist
  • Algonquin, IL
  • NPI 1053723908
  Medicare reassignment Care Compare group NPD
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1841587052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S MICHIGAN AVE",
            "address_2": "UNIT 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163261",
            "telephone_number": "630-400-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 STRATFORD SQUARE MALL",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082202",
            "telephone_number": "630-893-7688",
            "fax_number": "630-893-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURIAS",
        "first_name": "AUTUMN BLAIRE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dupage Medical Group LTD
• Dupage Medical Group, LTD.
• Dupage Meta-Vascular Medicine PC
• Duraes Jham Dental, P.C
• Gabriela V Duraes, DDS
• Daniel Patrick Durkin, DC
• Ears in Bloom Audiology, LLC
• Jasmin L Eco, D.D.S.
• Zachary Edsey
• Elevating Resilience Counseling LLC

• Optometrist in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.