Active NPI
Reid E Mlsna, OD
- Optometrist
- Rochelle, IL
National Provider Identifier
1174694343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009125
- Practice address
- 719 Lincoln Ave
Rochelle, IL 61068-1867 - Phone
- (815) 562-6175
- Fax
- (815) 562-5037
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046009125 | IL | Primary |
Addresses
Primary practice location
719 Lincoln Ave
Rochelle, IL 61068-1867
Mailing address
719 Lincoln Ave
Rochelle, IL 61068-1867
Phone (815) 562-6175
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
719 Lincoln Ave
Rochelle, IL 61068-1867
Phone (815) 562-6175
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.05 of 100
- Quality
- 80.09
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046009125 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis Marston | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Rochelle, IL
- NPI 1760689814
-
- Optometrist
- Rockford, IL
- NPI 1861545261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174694343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 LINCOLN AVE",
"city": "ROCHELLE",
"state": "IL",
"postal_code": "610681867",
"telephone_number": "815-562-6175",
"fax_number": "815-562-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 LINCOLN AVE",
"city": "ROCHELLE",
"state": "IL",
"postal_code": "610681867",
"telephone_number": "815-562-6175",
"fax_number": "815-562-5037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MLSNA",
"first_name": "REID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochelle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.