Individual provider Active NPI

Juan I Brito, O.D.

  • Optometrist
  • Crystal Lake, IL
National Provider Identifier
1851524318
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010282 Issued in IL
Practice address
5005 Northwest Hwy
Crystal Lake, IL 60014-7324
Phone
(815) 479-0177
Fax
(262) 923-7673
NPI assigned
Sep 1, 2009
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 3547 WI
Optometrist 152W00000X 046010282 IL Primary

Addresses

Primary practice location

5005 Northwest Hwy
Crystal Lake, IL 60014-7324

Mailing address

16800 W Cleveland Ave
New Berlin, WI 53151-3533
Phone (262) 432-2005

Other practice location 1

2929 Milton Ave Ste 140
Janesville, WI 53545-0253
Phone (608) 756-0728

Other practice location 2

2509 County Line Rd
Algonquin, IL 60102-2566
Phone (847) 658-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100215000496 IL Practitioner - Optometry 2860536893 Reassigns benefits to 1 organization
I20190820002225 WI Practitioner - Optometry 2860536893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Boutique, LLCGroup PAC ID 7012073851, 6 clinicians
Wisconsin Vision, LLCGroup PAC ID 5698676518, 27 clinicians

Practice addresses (Care Compare)

1839 W Irving Park Rd
Schaumburg, IL 60193-3509
Phone (847) 891-9096

2929 Milton Ave
Suite 140
Janesville, WI 53545-0253
Phone (608) 756-0728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010282ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Boutique, LLC Optometrist CurrentSince Dec 7, 2011 Accepting new patients
Wisconsin Vision, LLC Optometrist Current Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Jun 10, 2019 Accepting new patients
Wisconsin Vision, LLC Optometrist CurrentSince Jun 10, 2019 Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Eye Boutique, LLC Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Eye Boutique, LLC Optometrist Past Accepting new patients
Eye Boutique, LLC Optometrist PastSince Sep 14, 2025 Accepting new patients
Eye Boutique, LLC Optometrist Past Accepting new patients

Locations

1839 W Irving Park Rd
Schaumburg, IL 60193
Phone (847) 891-9096

2929 Milton Ave
Ste 140
Janesville, WI 53545
Phone (608) 756-0728

5725 75th St
Kenosha, WI 53142
Phone (262) 694-5553

16800 W Cleveland Ave
New Berlin, WI 53151
Phone (262) 432-2005

Organizations & group practices 11

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1851524318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 W CLEVELAND AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513533",
            "telephone_number": "262-432-2005",
            "fax_number": "262-432-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 NORTHWEST HWY",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147324",
            "telephone_number": "815-479-0177",
            "fax_number": "262-923-7673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Milton Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535450253",
            "country_code": "US",
            "telephone_number": "608-756-0728",
            "fax_number": "262-923-7622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2509 County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601022566",
            "country_code": "US",
            "telephone_number": "847-658-7661",
            "fax_number": "262-923-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRITO",
        "first_name": "JUAN",
        "middle_name": "I",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3547",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.