Individual provider Active NPI

Charlene Morfoot, O.D.

  • Optometrist
  • Huntley, IL
National Provider Identifier
1073798773
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0046010057 Issued in IL
Practice address
10880 N Il Route 47
Huntley, IL 60142-9717
Phone
(847) 961-2020
Fax
(847) 961-2345
NPI assigned
Jan 1, 2008
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0046010057 IL Primary

Addresses

Primary practice location

10880 N Il Route 47
Huntley, IL 60142-9717

Mailing address

10880 N Il Route 47
Huntley, IL 60142-9717
Phone (847) 961-2020

Other practice location 1

1 N Virginia St
Crystal Lake, IL 60014-4157
Phone (815) 477-3071

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
I20081107000048 IL Practitioner - Optometry 9234298159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morfoot Family Eye Care LLCGroup PAC ID 5395116677, 2 clinicians

Practice addresses (Care Compare)

10880 N Il Route 47
Huntley, IL 60142-9717
Phone (847) 961-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0046010057ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eye Care Centers, PC Optometrist CurrentSince Nov 29, 2021 Accepting new patients
Morfoot Family Eye Care LLC Optometrist CurrentSince Sep 12, 2022 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Nov 29, 2021 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

1 N Virginia St
Crystal Lake, IL 60014
Phone (815) 455-9393

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

10880 N Il Route 47
Huntley, IL 60142
Phone (847) 961-2020

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1073798773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10880 N IL ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429717",
            "telephone_number": "847-961-2020",
            "fax_number": "847-961-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 N IL ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429717",
            "telephone_number": "847-961-2020",
            "fax_number": "847-961-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600144157",
            "country_code": "US",
            "telephone_number": "815-477-3071",
            "fax_number": "815-455-0350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORFOOT",
        "first_name": "CHARLENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-01",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046010057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.