Bradley R Yaklich, O.D.
Individual provider Active NPI Optometrist · Morrison, IL
NPI 1356629471 · NPPES record last updated May 20, 2016
Key facts
- NPI
- 1356629471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046010496 (IL)
- Practice address
- 626 E Lincolnway Ste B
Morrison, IL 61270-2900 - Phone
- (815) 772-7455
- NPI assigned
- Jul 22, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
626 E Lincolnway
Suite B
Morrison, IL 61270-2900
Phone (815) 772-7455
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.67 of 100
- Quality
- 43.33
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 40 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110809000769 | IL | Practitioner - Optometry | 8224207162 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yaklich Optometry Inc | Optometrist | Current |
Accepting new patients |
Locations
626 E Lincolnway
Ste B
Morrison, IL 61270
Phone (815) 772-7455
201 E Market St
Morrison, IL 61270
Phone (815) 718-0020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010496 | IL | Yes |
Addresses
Primary practice location
626 E Lincolnway Ste B
Morrison, IL 61270-2900
Mailing address
626 E Lincolnway
Ste B
Morrison, IL 61270-2900
Phone (815) 772-7455
Other providers in Morrison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.