Pearl H Santilukka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010933 Issued in IL

Practice address

3100 W Il Route 60
Mundelein, IL 60060-4267

Phone

(847) 566-5137

Fax

(847) 566-5628

NPI assigned

Jul 27, 2015

Last updated

May 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2015

Medicare assignment

May accept Medicare assignment

Group practices

730 North Optometry PCGroup PAC ID 7517858657, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• 730 North Optometry PC

  dba 730 north optometry

  • Optometrist
  • Libertyville, IL
  • NPI 1821435660
  Medicare reassignment Care Compare group
• Brain-Eye Evolution at 730 North

  • Vision Therapy Optometrist
  • Libertyville, IL
  • NPI 1851741714
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1861877300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481914",
            "telephone_number": "847-362-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W IL ROUTE 60",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604267",
            "telephone_number": "847-566-5137",
            "fax_number": "847-566-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILUKKA",
        "first_name": "PEARL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rush-Select Holdings, LLC. (RUSH Physical Therapy)
• Mackenzie Rutledge, BSN RN
• Jamie Ryan
• Adedukunola Salimonu, PHARMD
• Erwin Calulot Santiago Jr., APRN, FNP-C
• Melissa Sarabia Marinez
• Saze Community Services, Inc.
• William C Schafernak, DC
• Edward Arthur Schulz, DPM
• Justeen Schusteff, MSW, LCSW, CADC, GCE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.