MEDICARE: MYEYEDR OPTOMETRY OF ILLINOIS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1861092926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYEYEDR OPTOMETRY OF ILLINOIS, LLC

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	865 ELMHURST RD
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60016-5605
Country	:	US
Telephone Number	:	847-437-1005
Fax Number	:	847-437-0755

Authorized Official
Title or Position	:	SECRETARY
Name	:	SUE DOWNES
Credential	:
Telephone Number	:	703-847-8899

Provider Enumeration Date	:	10/28/2020
Last Update Date	:	05/26/2022

Similar Medicare Providers

1013866359 — STEFANIE MARGARITA GOMEZ
Practice Location Address:

811 ELMHURST RD
DES PLAINES, IL
60016-5605

Practice Phone: 847-439-4230
Practice Fax:

1396752846 — DR. SHELLEY S KIM O.D.
Practice Location Address:

865 ELMHURST RD
DES PLAINES, IL
60016-5605

Practice Phone: 847-437-1005
Practice Fax: 847-437-0755

1528266434 — DR. LISA VAN HONG DO PHARM.D.
Practice Location Address:

811 ELMHURST RD
DES PLAINES, IL
60016-5605

Practice Phone: 847-439-4230
Practice Fax: 847-439-8912

1598951535 — BEST VISION OPTOMETRY INC
Practice Location Address:

865 ELMHURST RD
DES PLAINES, IL
60016-5605

Practice Phone: 847-437-1005
Practice Fax:

1629424262 — MARY REYNA PHARMD
Practice Location Address:

811 ELMHURST RD
DES PLAINES, IL
60016-5605

Practice Phone: 847-439-4230
Practice Fax: 847-439-8912

1699124602 — SYEDA RABAB FATIMA OD
Practice Location Address:

865 ELMHURST RD
DES PLAINES, IL
60016-5605

Practice Phone: 847-437-1005
Practice Fax: 847-437-0755

Directions to “MYEYEDR OPTOMETRY OF ILLINOIS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.