Myeyedr Optometry Of Illinois, LLC
Optometrist in Coal City, IL. Organization (NPI-2).
NPI number1972180149
StatusActive
Last updated in NPPESMay 26, 2022
Details
- NPI
- 1972180149
- Entity type
- Organization (NPI-2)
- Legal business name
- Myeyedr Optometry Of Illinois, LLC
- Organization subpart
- No
- Enumeration date
- Mar 25, 2021
- Certification date
- May 26, 2022
- Last updated
- May 26, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Myeyedr. (Doing Business As)
Practice location
20 E North StCoal City, IL 60416-1087
Phone 815-634-4825 · Fax 815-634-4938
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
Phone 703-847-8899 · Fax 571-223-6780
Authorized official
Sue Downes
Secretary
7038478899
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Optometrist providers in Coal City, IL
- Jennifer Wai-Ling Chu, O.D.NPI 1710326657
- J. Micetich, Od & Associates Family Eye Care Center P CNPI 1093832008
- Jonathan Edward Micetich, O.D.NPI 1740273754
- Abigail Rene NorrisNPI 1902489982
- Andrea Paradesi, O.D.NPI 1679021547
- Patricia Helen Simpson, O. D.NPI 1649274366
All 7 Optometrist providers in Coal City · All 97 providers in Coal City
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