Organization Active NPI

Rucnok Vision Care Inc

  • Optometrist
  • Morris, IL
National Provider Identifier
1073849931
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046006846 Issued in IL
Legal business name
RUCNOK VISION CARE INC
Practice address
333 E US Route 6
Morris, IL 60450-8920
Phone
(815) 942-5918
Fax
(815) 942-4794
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. John T. Giannone, ODNPI 1922050707
Title
Owner
Phone
(815) 942-5918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046006846 IL Primary

Addresses

Primary practice location

333 E US Route 6
Morris, IL 60450-8920

Mailing address

5021 Essington LN
Hoffman Estates, IL 60010-5522
Phone (815) 942-5918

Other identifiers 2

IdentifierTypeStateIssuer
046006846OtherILLICENSE
046006846MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091204000168 IL Part B Supplier - Clinic/Group Practice 1951440940 Receives reassigned benefits from 1 practitioner
Practice locations: Morris, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073849931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 ESSINGTON LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "600105522",
            "telephone_number": "815-942-5918",
            "fax_number": "815-942-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604508920",
            "telephone_number": "815-942-5918",
            "fax_number": "815-942-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCNOK VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GIANNONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-942-5918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "046006846",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006846",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.