Individual provider Active NPI

Natalie J. Hutchison, O.D.

  • Optometrist
  • Edwardsville, IL
National Provider Identifier
1235519190
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010889 Issued in IL
Practice address
2100 Troy Rd
Edwardsville, IL 62025-2595
Phone
(618) 656-8888
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2015017826 MO
Optometrist 152W00000X 046010889 IL Primary

Addresses

Primary practice location

2100 Troy Rd
Edwardsville, IL 62025-2595

Mailing address

111 E 4TH St Ste 440
Alton, IL 62002-6241
Phone (618) 462-9818

Other identifiers 3

IdentifierTypeStateIssuer
046010889MedicaidIL
1235519190MedicaidMO
2015017826OtherMOMO OPTOMETRY LICENSE

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
I20150724011665 IL Practitioner - Optometry 9830402478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians

Practice addresses (Care Compare)

2100 Troy Rd
Edwardsville, IL 62025-2595
Phone (618) 656-8888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015017826MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nucrown,Inc. Optometrist CurrentSince Jul 13, 2015 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Jan 1, 2016 Accepting new patients
Nu-Crown, LLC Optometrist CurrentSince Jul 13, 2015 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Jan 1, 2016 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

406 E Broadway
Alton, IL 62002
Phone (618) 462-0340

211 E Broadway
Alton, IL 62002
Phone (314) 787-0681

2100 Troy Rd
Ste 104
Edwardsville, IL 62025
Phone (618) 656-8888

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

1312 Mercantile Dr
Highland, IL 62249
Phone (618) 654-9999

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1235519190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026241",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 TROY RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252595",
            "telephone_number": "618-656-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "NATALIE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2015017826",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010889",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235519190",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO OPTOMETRY LICENSE",
            "identifier": "2015017826",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

Verify at the official NPI Registry.