Active NPI
Myeyedr Optometry of Illinois, LLC
- Optometrist
- Chicago, IL
National Provider Identifier
1891150702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF ILLINOIS, LLC
- Practice address
- 1300 N Ashland Ave Ste 123B
Chicago, IL 60622-2268 - Phone
- (773) 276-2020
- Fax
- (773) 276-2021
- NPI assigned
- Dec 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1300 N Ashland Ave Ste 123B
Chicago, IL 60622-2268
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 N Ashland Ave
Frnt 123B
Chicago, IL 60622
Phone (773) 276-2020
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Evanston, IL
- NPI 1033725114
-
- Optometrist
- Hinsdale, IL
- NPI 1427141233
-
- Optometrist
- Naperville, IL
- NPI 1265414817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653523200000",
"number": "1891150702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N ASHLAND AVE STE 123B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222268",
"telephone_number": "773-276-2020",
"fax_number": "773-276-2021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF ILLINOIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-18",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Myeyedr Optometry of Illinois, LLC
- Myeyedr Optometry of Illinois, LLC
- Myeyedr Optometry of Illinois, LLC
- Myeyedr Optometry of Illinois, LLC
- Myeyedr Optometry of Illinois, LLC
- Myeyedr Optometry of Illinois, LLC
- Myeyedr Optometry of Illinois, LLC
- Kristen Myhand, M.D.
- Katrina Lyn Myhra, LCSW
- Tun Myint, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.