Individual provider Active NPI

Charles C Assell III, O.D.

  • Optometrist
  • St Charles, IL
National Provider Identifier
1962574137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
3800 E Main St
#114
St Charles, IL 60174-2457
Phone
(630) 443-7200
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

3800 E Main St
#114
St Charles, IL 60174-2457

Mailing address

525 Parkside Dr
Elburn, IL 60119-8333
Phone (630) 365-0702

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
I20040929000142 IL Practitioner - Optometry 3375512197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Aide and Assell Optometrists, P.C.Group PAC ID 4486667763, 4 clinicians

Practice addresses (Care Compare)

1115 N Roselle Rd
Hoffman Estates, IL 60169-4930
Phone (847) 885-2030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009650ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Aide and Assell Optometrists, PC Optometrist CurrentSince Nov 1, 2012 Accepting new patients
DRS Morgan and Aide-Optometrists, P.C. Optometrist Past Accepting new patients

Locations

1115 N Roselle Rd
Hoffman Estates, IL 60169
Phone (847) 885-2030

762 W Euclid Ave
Palatine, IL 60067
Phone (847) 991-3646

2441 W Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 301-2727

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962574137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PARKSIDE DR",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198333",
            "telephone_number": "630-365-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E MAIN ST",
            "address_2": "#114",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742457",
            "telephone_number": "630-443-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSELL",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.