Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Soukup, OD

Individual provider Optometrist · NPI 1699506964

Amanda Soukup, OD is an Optometry in Yorkville, Illinois. Qualified in 2024, 2 years ago. Practices with Brenart Eye Clinic, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

120 E Countryside Pkwy Ste B
Yorkville, IL 60560-1878
Phone: (630) 553-6166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046011904 (IL)

Record details

NPI number1699506964
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address120 E Countryside Pkwy Ste B, Yorkville, IL 60560-1878

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Brenart Eye Clinic, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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