Individual provider Active NPI

Alexander Remington Kane, OD

  • Optometrist
  • Springfield, IL
National Provider Identifier
1336766377
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011433 Issued in IL
Practice address
6900 Preston Dr Ste a
Springfield, IL 62711-4309
Phone
(217) 899-7997
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011433 IL Primary

Addresses

Primary practice location

6900 Preston Dr Ste a
Springfield, IL 62711-4309

Mailing address

6900 Preston Dr Ste a
Springfield, IL 62711-4309
Phone (217) 899-7997

Other practice location 1

2020 W Iles Ave
Springfield, IL 62704-4174
Phone (217) 698-3030

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
I20200722002967 IL Practitioner - Optometry 1355765470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6900 Preston Dr
Springfield, IL 62711-4309
Phone (217) 697-8741

Merit-based Incentive Payment System (MIPS)

Final score
91.63 of 100Reported as group
Quality
90.15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011433ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Eye Center, LTD Optometrist CurrentSince Jul 12, 2023 Accepting new patients
Prairie Eye Center, LTD Optometrist CurrentSince Jul 12, 2023 Accepting new patients
Premier Vision Center LLC Optometrist CurrentSince Jun 30, 2020 Accepting new patients
Premier Vision Center, PLLC Optometrist PastSince Sep 1, 2024 Accepting new patients

Locations

2020 W Iles Ave
Springfield, IL 62704
Phone (217) 698-3030

6900 Preston Dr
Ste A
Springfield, IL 62711
Phone (217) 697-8741

6900 Preston Dr
Springfield, IL 62711
Phone (217) 697-8741

2809 Mansion Rd
Ste A
Springfield, IL 62711
Phone (217) 697-8741

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1336766377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PRESTON DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627114309",
            "telephone_number": "217-899-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PRESTON DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627114309",
            "telephone_number": "217-899-7997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 W Iles Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627044174",
            "country_code": "US",
            "telephone_number": "217-698-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "ALEXANDER",
        "middle_name": "REMINGTON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.