Individual provider Active NPI

Laurey Lizabeth Schillman, O.D.

  • Optometrist
  • Lansing, IL
National Provider Identifier
1871631267
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008066 Issued in IL
Practice address
3224 Ridge Rd Ste 102
Lansing, IL 60438-3191
Phone
(708) 895-4422
Fax
(708) 895-4482
NPI assigned
Feb 1, 2007
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008066 IL Primary

Addresses

Primary practice location

3224 Ridge Rd Ste 102
Lansing, IL 60438-3191

Mailing address

18155 Roy St
Suite 3
Lansing, IL 60438-2376
Phone (708) 474-7574

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
I20171108000071 IL Practitioner - Optometry 0345356309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008066ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Sep 25, 2017 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Sep 25, 2017 Accepting new patients
Laurey L. Schillman, O.D., P.C. Past Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients

Locations

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

370 Houbolt Rd
Ste 102
Joliet, IL 60431
Phone (815) 729-9143

3224 Ridge Rd
Ste 102
Lansing, IL 60438
Phone (708) 895-4422

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1871631267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18155 ROY ST",
            "address_2": "SUITE 3",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382376",
            "telephone_number": "708-474-7574",
            "fax_number": "708-474-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 RIDGE RD STE 102",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383191",
            "telephone_number": "708-895-4422",
            "fax_number": "708-895-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLMAN",
        "first_name": "LAUREY",
        "middle_name": "LIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.