MEDICARE: EYE BOUTIQUE, 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	:	1851549638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE BOUTIQUE, LLC

Provider Business Mailing Address
First Line	:	16800 W CLEVELAND AVE
Second Line	:
City	:	NEW BERLIN
State	:	WI
Zip	:	53151-3533
Country	:	US
Telephone Number	:	262-432-2005
Fax Number	:	262-432-2006

Provider Business Practice Location Address
First Line	:	1622 COMMONS DRIVE
Second Line	:
City	:	GENEVA
State	:	IL
Zip	:	60134
Country	:	US
Telephone Number	:	630-232-8798
Fax Number	:	262-923-7674

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DARREN THOMAS HORNDASCH
Credential	:
Telephone Number	:	262-432-2005

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	03/02/2026

Similar Medicare Providers

1235516998 — JESSICA GROENENDYK CCC-SLP
Practice Location Address:

1795 W STATE ST STE C
GENEVA, IL
60134-4709

Practice Phone: 708-473-6120
Practice Fax:

1407704612 — DR. AFSHAN HUSSAIN DO
Practice Location Address:

298 RANDALL RD
GENEVA, IL
60134-4203

Practice Phone: 630-938-3300
Practice Fax:

1609675958 — JOSELYN GONZALEZ DO
Practice Location Address:

298 RANDALL RD
GENEVA, IL
60134-4203

Practice Phone: 630-938-3300
Practice Fax: 630-938-3310

1659935559 — ABIGAIL WIGGINS
Practice Location Address:

1250 EXECUTIVE PL STE 201
GENEVA, IL
60134-3805

Practice Phone: 847-306-9843
Practice Fax:

1073680138 — DR. JOHN RONALD COOK DDS
Practice Location Address:

127 HAMILTON ST
GENEVA, IL
60134-4516

Practice Phone: 630-232-0895
Practice Fax: 630-232-0051

1417802380 — HEIDI RUIZ-ROMERO
Practice Location Address:

1250 EXECUTIVE PL STE 201
GENEVA, IL
60134-3805

Practice Phone: 815-223-2337
Practice Fax: 815-327-3440

Directions to “EYE BOUTIQUE, 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.