John David Power, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007974 Issued in IL

Practice address

3411 Office Park Dr
Marion, IL 62959-6478

Phone

(618) 997-5600

Fax

(618) 993-2574

NPI assigned

Oct 2, 2006

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 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Complete Family Eyecare of Marion, PC

  • Optometrist
  • Marion, IL
  • NPI 1619621398
  Medicare reassignment NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1154414092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1130",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629597630",
            "telephone_number": "618-997-5600",
            "fax_number": "618-993-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 OFFICE PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596478",
            "telephone_number": "618-997-5600",
            "fax_number": "618-993-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "0010084008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Poole, BSW
• Jane Ann Pope, M.S., CCC-SLP
• Adam Ray Porter
• Daniel Lee Porter, OTR
• Brittany Elizabeth Powell, NP
• Emily Powles, RN
• Prairie Spine & Pain Institute of Southern Illinois, LLC
• Beth Preston, LCSW
• Jamie Preston, LMSW
• Vanessa Primo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.