Active NPI
Brandon Simon Lernor, O.D.
- Optometrist
- McHenry, IL
National Provider Identifier
1295081362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010605
- Practice address
- 2050 N Richmond Rd
McHenry, IL 60051-5419 - Phone
- (815) 363-8555
- NPI assigned
- Jul 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 046010605 | IL | Primary |
Addresses
Primary practice location
2050 N Richmond Rd
McHenry, IL 60051-5419
Mailing address
6643 Wheatfield St
Woodridge, IL 60517-1715
Phone (630) 408-1530
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, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2050 N Richmond Rd
McHenry, IL 60051-5419
Phone (815) 363-8555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windy City Eye Care, Inc. | Optometrist | Current | Accepting new patients |
Locations
2050 N Richmond Rd
McHenry, IL 60051
Phone (815) 363-8555
Organizations & group practices 1
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
- McHenry, IL
- NPI 1003154550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1295081362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6643 WHEATFIELD ST",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171715",
"telephone_number": "630-408-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 N RICHMOND RD",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600515419",
"telephone_number": "815-363-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERNOR",
"first_name": "BRANDON",
"middle_name": "SIMON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-26",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.