Individual provider Active NPI

Luke Ew Neuenfeldt, OD

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1942853700
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04611331 Issued in IL
Practice address
10739 W 159TH St
Orland Park, IL 60467-4531
Phone
(708) 403-7711
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 04611331 IL Primary

Addresses

Primary practice location

10739 W 159TH St
Orland Park, IL 60467-4531

Mailing address

10739 W 159TH St
Orland Park, IL 60467-4531
Phone (708) 403-7711

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
I20190927001273 IL Practitioner - Optometry 3274863667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirk P Pavletic OD PCGroup PAC ID 4082733290, 4 clinicians

Practice addresses (Care Compare)

10739 W 159TH St
Orland Park, IL 60467-4531
Phone (708) 403-7711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04611331ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Eyes, LLC Optometrist CurrentSince Aug 8, 2021 Accepting new patients
Midwestern University Optometrist CurrentSince Feb 5, 2022 Accepting new patients
Midwestern University Current Accepting new patients
Third Street Eyecare, LTD Optometrist PastSince Jan 2, 2012 Accepting new patients

Locations

26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500

3450 Lacey Rd
Ste 602
Downers Grove, IL 60515
Phone (630) 743-4500

15900 W 127th St
Ste 221B
Lemont, IL 60439
Phone (312) 888-9999

Interoperability endpoints

  • Direct secure messaging: lneuenfeldt19768@direct.midwestern.edu
  • Direct secure messaging: luke.neuenfeldt.d1.p1@direct.midwesternuniversity.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1942853700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10739 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-403-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674531",
            "telephone_number": "708-403-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUENFELDT",
        "first_name": "LUKE",
        "middle_name": "EW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "04611331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.