John Hanlon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011346 Issued in 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

Last updated

Aug 5, 2019By the provider in NPPES

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

Electronic endpoints 1

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

Illinois College of Optometry at Chicago, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Northwest Eyecare PCGroup PAC ID 7012968209, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.67 of 100Reported as individual

Quality

79.33

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Eyecare PC

  • Optometrist
  • Freeport, IL
  • NPI 1184800625
  Medicare reassignment Care Compare group NPD
• Jason Lam O.D., M.B.a., Inc.

  dba Eyekonic Family Optometry

  • Optometrist
  • Corona, CA
  • NPI 1598129769
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1366097511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 KIWANIS DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326921",
            "telephone_number": "815-235-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W ROCK FALLS RD",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610712960",
            "telephone_number": "815-626-7700",
            "fax_number": "815-235-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "JOHN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Revolution",
            "affiliation": "N",
            "endpointDescription": "Revolution EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Freeport",
            "address_1": "102 W Rock Falls Rd",
            "city": "Rock Falls",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610712960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Lynn Foust, RPH
• Tracy Fowkes
• Lisa Ann Framke, MS
• Kimberly Dawn Good
• Susan H Gould, MD
• Harold W Blanton (Midwest Rehab)
• Kristin Hart, L.C.S.W.
• Violet Havenar
• Mary Heather
• Manorama Hermon, M.D.

• Optometrist in Rock Falls, IL
• Providers in Rock Falls, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.