Bryan Matthew Stoller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

320 N Ladd St
Pontiac, IL 61764-1612

Phone

(815) 842-4304

Fax

(815) 844-5495

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairbury Vision Center LLCGroup PAC ID 7719209345, 4 clinicians

Pontiac Family Eye Care LLCGroup PAC ID 5395068266, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.33 of 100Reported as group

Quality

80.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pontiac Family Eye Care LLC

  • Optometrist
  • Pontiac, IL
  • NPI 1700286143
  Medicare reassignment Care Compare group NPD Authorized official
• Fairbury Vision Center LLC

  • Optometrist
  • Fairbury, IL
  • NPI 1144639105
  Medicare reassignment Care Compare group NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316946338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N LADD ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641612",
            "telephone_number": "815-842-4304",
            "fax_number": "815-844-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N LADD ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641612",
            "telephone_number": "815-842-4304",
            "fax_number": "815-844-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "BRYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00083064",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "U71920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "041882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05332011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith M Spraggon, MHP
• Christine Marie Stark, OTR
• Kevin Steidinger, BS
• Alyssa Stein, MHP
• Monica K Stewart, PT
• Agnus Strojewska, BS
• Cheryle Diana Strother
• David John Sula
• Sungrace Counseling PLLC
• Melissa R Swartz, MS

• Optometrist in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.