Active NPI
Luke Ew Neuenfeldt, OD
- Optometrist
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 04611331
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10739 W 159TH St
Orland Park, IL 60467-4531
Phone (708) 403-7711
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04611331 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Eyes, LLC | Optometrist | Current | Accepting new patients |
| Midwestern University | Optometrist | Current | Accepting new patients |
| Midwestern University | Current | Accepting new patients | |
| Third Street Eyecare, LTD | Optometrist | Past | 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
- lneuenfeldt19768@direct.midwestern.edu
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.