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

Mitchell William Kanellis, OD

Individual provider Optometrist · NPI 1144930298

Mitchell William Kanellis, OD is an Optometry in Downers Grove, Illinois. Qualified in 2022, 4 years ago. Practices with Expert Family Eyecare LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
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

3450 Lacey Rd
Downers Grove, IL 60515-5430
Phone: (630) 743-4500
Fax: (630) 743-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046011732 (IL)

Record details

NPI number1144930298
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 30, 2022
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address3450 Lacey Rd, Downers Grove, IL 60515-5430

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Expert Family Eyecare Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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