Active NPI
Ohman Optometry PLLC
- Optometrist
- Rantoul, IL
National Provider Identifier
1205618568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- OHMAN OPTOMETRY PLLC
- Practice address
- 845 Broadmeadow Rd
Rantoul, IL 61866-2119 - Phone
- (217) 892-5095
- NPI assigned
- Oct 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyle R Ohman, OD
- Title
- Owner
- Phone
- (231) 679-2479
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
845 Broadmeadow Rd
Rantoul, IL 61866-2119
Mailing address
705 Frank Dr
Champaign, IL 61821-4237
Phone (127) 061-9680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1205618568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 FRANK DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618214237",
"telephone_number": "127-061-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 BROADMEADOW RD",
"city": "RANTOUL",
"state": "IL",
"postal_code": "618662119",
"telephone_number": "217-892-5095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHMAN OPTOMETRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-19",
"last_updated": "2025-03-17",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "OHMAN",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-679-2479",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rantoul, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.