John Hanlon, OD
Individual provider Active NPI Optometrist · Rock Falls, IL
NPI 1366097511 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1366097511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 046011346 (IL)
- Practice address
- 102 W Rock Falls Rd
Rock Falls, IL 61071-2960 - Phone
- (815) 626-7700
- Fax
- (815) 235-6180
- NPI assigned
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Northwest Eyecare PC
Practice addresses (Care Compare)
1000 Kiwanis Dr
Freeport, IL 61032-6921
Phone (815) 235-6177
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.67 of 100
- Quality
- 79.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 50 |
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 |
|---|---|---|---|---|
| I20190828003769 | IL | Practitioner - Optometry | 2264760214 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011346 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Eyecare PC | Optometrist | Current |
Accepting new patients |
| Jason Lam O.D., M.B.a., Inc. | Optometrist | Past | Accepting new patients |
Locations
1000 Kiwanis Dr
Freeport, IL 61032
Phone (815) 233-3277
314 W Washington St
Oregon, IL 61061
Phone (815) 235-6177
102 W Rock Falls Rd
Rock Falls, IL 61071
Phone (815) 626-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011346 | IL | Yes |
Addresses
Primary practice location
102 W Rock Falls Rd
Rock Falls, IL 61071-2960
Mailing address
1000 Kiwanis Dr
Freeport, IL 61032-6921
Phone (815) 235-6177
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Revolution | Health Information Exchange (HIE) |
Other providers in Rock Falls, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2019. 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.