Individual provider Active NPI

David Rocks, OD

  • Optometrist
  • Lake in the Hills, IL
National Provider Identifier
1023016151
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009272 Issued in IL
Practice address
45 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone
(847) 854-0202
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009272 IL Primary

Addresses

Primary practice location

45 W Acorn LN
Lake in the Hills, IL 60156-4804

Mailing address

45 W Acorn LN
Lake in the Hills, IL 60156-4804
Phone (847) 854-0202

Other identifiers 1

IdentifierTypeStateIssuer
P00450771OtherMEDICARE RAILROAD PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000925 IL Practitioner - Optometry 3072562974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare Clinic IncGroup PAC ID 9739138637, 2 clinicians

Practice addresses (Care Compare)

45 W Acorn Lane
Lake in the Hills, IL 60156-4804
Phone (847) 854-0202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009272ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare Clinic, Inc CurrentSince Jan 1, 2005 Accepting new patients

Locations

45 W Acorn Ln
Lk in the Hls, IL 60156
Phone (847) 854-0202

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1023016151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W ACORN LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564804",
            "telephone_number": "847-854-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W ACORN LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601564804",
            "telephone_number": "847-854-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00450771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

Verify at the official NPI Registry.