Organization Active NPI

Smart Eyes LLC

  • Optometrist
  • Aurora, IL
National Provider Identifier
1891248548
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SMART EYES LLC
Practice address
3150 N Aurora Rd
Suite I
Aurora, IL 60502-3800
Phone
(630) 340-4530
Fax
(630) 701-2564
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Dr. Hellen Yun, O.D.NPI 1841442159
Title
Optometrist
Phone
(847) 287-7766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IL Primary

Addresses

Primary practice location

3150 N Aurora Rd
Suite I
Aurora, IL 60502-3800

Mailing address

3150 N Aurora Rd
Suite I
Aurora, IL 60502-3800
Phone (630) 340-4530

Other identifiers 2

IdentifierTypeStateIssuer
046010163MedicaidIL
1194952598OtherILGROUP MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161026000891 IL Part B Supplier - Clinic/Group Practice 9931487931 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, IL

National Provider Directory

National Provider Directory

Locations

3150 N Aurora Rd
Unit I
Aurora, IL 60502
Phone (630) 340-4530

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1891248548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N AURORA RD",
            "address_2": "SUITE I",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605023800",
            "telephone_number": "630-340-4530",
            "fax_number": "630-701-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N AURORA RD",
            "address_2": "SUITE I",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605023800",
            "telephone_number": "630-340-4530",
            "fax_number": "630-701-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "HELLEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-287-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010163",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "1194952598",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.

Verify at the official NPI Registry.