Antonia Mourelatos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009382 Issued in IL

Practice address

950 W. RT. 22
Lossman Eye Care
Lake Zurich, IL 60047-1031

Phone

(847) 726-2020

Fax

(630) 629-7640

NPI assigned

Jan 9, 2007

Last updated

Nov 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaye Eyecare of Huntley LTDGroup PAC ID 8729094164, 4 clinicians

Irish Eyes LLCGroup PAC ID 2365650793, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drmourelatos@kayeeyecare.direct.eyemdemr.com

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.

• Kaye Eyecare of Huntley, LTD.

  • Optometrist
  • Huntley, IL
  • NPI 1366517427
  Medicare reassignment Care Compare group NPD
• Irish Eyes LLC

  dba DuPage Family Eye Care

  • Eyewear Supplier
  • Glen Ellyn, IL
  • NPI 1962883694
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1992854269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 HUNTINGTON DR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077232",
            "telephone_number": "630-629-2026",
            "fax_number": "630-629-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W. RT. 22",
            "address_2": "LOSSMAN EYE CARE",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600471031",
            "telephone_number": "847-726-2020",
            "fax_number": "630-629-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURELATOS",
        "first_name": "ANTONIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Joseph Morris, D.C.
• Cori Moschberger, LCSW
• Mount St Joseph
• Mount St Joseph
• Mount St Joseph
• Christine Moyer, BCBA
• Mary Mueller, PA
• Fahad Karim Mustafa, MD
• Myeyedr Optometry of Illinois, LLC (MyEyeDr)
• Suryaprakesharao Nadimpalli, M.D.

• Optometrist in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.

Verify at the official NPI Registry.