Individual provider Active NPI

Quinn L Judge, OD

  • Optometrist
  • Milan, IL
National Provider Identifier
1205065620
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010259 Issued in IL
Practice address
1929 10TH Ave E
Milan, IL 61264-2953
Phone
(309) 787-8341
Fax
(309) 787-8345
NPI assigned
Jul 7, 2009
Last updated
Jul 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010259 IL Primary

Addresses

Primary practice location

1929 10TH Ave E
Milan, IL 61264-2953

Mailing address

1929 10TH Ave E
Milan, IL 61264-2953
Phone (309) 787-8341

Other identifiers 1

IdentifierTypeStateIssuer
046010259MedicaidIL

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
I20090918000223 IL Practitioner - Optometry 7517013469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Northwest Eyecare PCGroup PAC ID 7012968209, 5 clinicians

Practice addresses (Care Compare)

314 W Washington St
Oregon, IL 61061-1622
Phone (815) 732-3121

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
73.48
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eyecare PC Optometrist CurrentSince Apr 15, 2018 Accepting new patients
Bond Eye Associates, S.C. Past Accepting new patients
Jason Lam O.D., M.B.a., Inc. Optometrist Past Accepting new patients

Locations

1000 Kiwanis Dr
Freeport, IL 61032
Phone (815) 233-3277

116 N Broad St
Lanark, IL 61046
Phone (815) 235-6177

314 W Washington St
Oregon, IL 61061
Phone (815) 235-6177

312 E North Ave
Stockton, IL 61085
Phone (815) 947-2424

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1205065620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642953",
            "telephone_number": "309-787-8341",
            "fax_number": "309-787-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642953",
            "telephone_number": "309-787-8341",
            "fax_number": "309-787-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "QUINN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010259",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, IL

Sources for this page

Verify at the official NPI Registry.