Individual provider Active NPI

Dirk J. Bochner, O.D.

  • Optometrist
  • Marion, IL
National Provider Identifier
1194806034
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009920 Issued in IL
Practice address
1200 W Deyoung St
Marion, IL 62959-4437
Phone
(618) 993-5686
Fax
(618) 997-6250
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009920 IL Primary

Addresses

Primary practice location

1200 W Deyoung St
Marion, IL 62959-4437

Mailing address

PO Box 1178
Marion, IL 62959-7678
Phone (618) 993-5686

Other practice location 1

5 Eye Center Dr
Harrisburg, IL 62946-3334
Phone (618) 252-5377

Other identifiers 10

IdentifierTypeStateIssuer
0814870005OtherILMEDICARE NSC NUMBER
124046OtherHEALTH ALLIANCE
0814870001OtherILMEDICARE NSC NUMBER
081470009OtherILMEDICARE NSC NUMBER
0814870019OtherILMEDICARE NSC NUMBER
0814870003OtherILMEDICARE NSC NUMBER
P00434353OtherILMEDICARE RAILROAD
IN3220OtherEYEMED
046009920MedicaidIL
413010OtherHARMONY HEALTH PLAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000158 IL Practitioner - Optometry 7113975921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Eye Centers LTD 38 clinicians

Practice addresses (Care Compare)

1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686

1204 US 45
Eldorado, IL 62930-1212
Phone (618) 273-6220

5 Eyecenter Dr
Harrisburg, IL 62946-3334
Phone (601) 252-5377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009920ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Eye Centers LTD. Optometrist CurrentSince Oct 30, 2006 Accepting new patients
Marion Eye Centers LTD. Optometrist CurrentSince Oct 30, 2006 Accepting new patients
Hendrix Optometric Corporation Optometrist PastSince Oct 1, 2008 Accepting new patients
Vision Service Corporation Optometrist Past Accepting new patients

Locations

1204 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-6220

5 Eye Center Dr
Harrisburg, IL 62946
Phone (618) 252-5377

1200 W Deyoung St
Marion, IL 62959
Phone 61899356861290

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1194806034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1178",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629597678",
            "telephone_number": "618-993-5686",
            "fax_number": "618-997-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594437",
            "telephone_number": "618-993-5686",
            "fax_number": "618-997-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Eye Center Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629463334",
            "country_code": "US",
            "telephone_number": "618-252-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCHNER",
        "first_name": "DIRK",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC NUMBER",
            "identifier": "0814870005",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "124046",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC NUMBER",
            "identifier": "0814870001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC NUMBER",
            "identifier": "081470009",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC NUMBER",
            "identifier": "0814870019",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC NUMBER",
            "identifier": "0814870003",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00434353",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IN3220",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009920",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTH PLAN",
            "identifier": "413010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.