Brian Bouton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009118 Issued in IL

Practice address

2537 Plainfield Rd
Joliet, IL 60435-1463

Phone

(815) 577-2020

Fax

(815) 577-0998

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye 2 Eye Vision Center PCGroup PAC ID 0244489862, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Eye 2 Eye Vision Center PC

  • Optometrist
  • Joliet, IL
  • NPI 1457618621
  Medicare reassignment Care Compare group
• Eligijus P Lelis MD & Associates, SC

  • Durable Medical Equipment & Medical Supplies
  • Joliet, IL
  • NPI 1184750465
  NPD (past)
• Eligijus P Lelis MD & Associates, SC

  • Durable Medical Equipment & Medical Supplies
  • Joliet, IL
  • NPI 1871628230
  NPD (past)
• Eligijus P. Lelis M.D. & Associates, S.C.

  • Ophthalmology Physician
  • Joliet, IL
  • NPI 1700830957
  NPD (past)
• James K. Cutler O.D. & Associates, P.C.

  • Optometrist
  • Joliet, IL
  • NPI 1447450887
  NPD (past)
• Monica L Cicimov & Associates Inc

  • Optometrist
  • Joliet, IL
  • NPI 1497201693
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1154375392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 PLAINFIELD RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351463",
            "telephone_number": "815-577-2020",
            "fax_number": "815-577-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 PLAINFIELD RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351463",
            "telephone_number": "815-577-2020",
            "fax_number": "815-577-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "0009919581",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009118",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1457618621",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michel Kim Borders, MD
• Rachel Boros
• Rachel Borsellino, LPC
• Kimberly Bosh, LSW
• Allison Marie Bouma
• Shannon Abel Bowles, R.N.
• Megan Bowman, SSP
• Ellise Jeannette Boyd, MAED
• Jessica L Boyd, PT
• Joanne Boyd

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.