Jon E McCutchan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0046008749 Issued in IL

Practice address

200 Ace Rd
Suite 4
Princeton, IL 61356-8644

Phone

(815) 872-3937

Fax

(815) 875-3937

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Finkelstein Eye Care PLLC

  • Ophthalmology Physician
  • Streator, IL
  • NPI 1073374187
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1104812650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ACE RD",
            "address_2": "SUITE 4",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613568644",
            "telephone_number": "815-872-3937",
            "fax_number": "815-875-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ACE RD",
            "address_2": "SUITE 4",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613568644",
            "telephone_number": "815-872-3937",
            "fax_number": "815-875-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHAN",
        "first_name": "JON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046008749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC B",
            "identifier": "1194300001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "410038483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette Marie Maher, LCPC
• Donald R Marion, OD
• Mark W. Williams, M.D., PH.D., General Surgery, S.C.
• Jeffrey Paul Martin, DC
• Angela McClain, MS, CNS, LDN
• Micah W McNeill, APRN, CNP
• Kristina L Menzel, LCPC
• Jennifer Merth, MT-BC, NMT, DT
• Robert E Mestan, MD
• Midwest Health Operations LLC

• Optometrist in Princeton, IL
• Providers in Princeton, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.