Individual provider Active NPI

Celina Lewis, OD

  • Optometrist
  • Minooka, IL
National Provider Identifier
1851959449
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011359 Issued in IL
Practice address
106 Ridge Rd
Minooka, IL 60447-9867
Phone
(815) 467-7090
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011359 IL Primary

Addresses

Primary practice location

106 Ridge Rd
Minooka, IL 60447-9867

Mailing address

501 E Pease St
Heyworth, IL 61745-9168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20191001000933 IL Practitioner - Optometry 5496085615 Reassigns benefits to 1 organization
I20231216000345 IN Practitioner - Optometry 5496085615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munster Eye Care Associates PCGroup PAC ID 6709950769, 5 clinicians

Practice addresses (Care Compare)

759 45TH St
Suite 101
Munster, IN 46321-2939
Phone (219) 922-6226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011359ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Munster Eye Care Associates, P.C. Optometrist CurrentSince Nov 27, 2023 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Munster Eye Care Associates, P.C. Optometrist CurrentSince Nov 27, 2023 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients
Dekalb Eye Consultants, LLC Optometrist PastSince Mar 1, 2022 Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

106 Ridge Rd
Ste 112
Minooka, IL 60447
Phone (815) 467-7090

759 45th St
Ste 101
Munster, IN 46321
Phone (219) 922-6226

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: clewis015709@myeyedr.emadirect.md
  • Direct secure messaging: ceina.lewis.p7@direct.hauserross.nextgenshare.com

Organizations & group practices 7

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1851959449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E PEASE ST",
            "city": "HEYWORTH",
            "state": "IL",
            "postal_code": "617459168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RIDGE RD",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604479867",
            "telephone_number": "815-467-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CELINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minooka, IL

Sources for this page

Verify at the official NPI Registry.