Individual provider Active NPI

Ashley Foster, OD

  • Optometrist
  • Bloomington, IL
National Provider Identifier
1396399374
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011338 Issued in IL
Practice address
2109 N Veterans Pkwy
Bloomington, IL 61704-0910
Phone
(309) 663-2211
NPI assigned
Jul 29, 2019
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011338 IL Primary

Addresses

Primary practice location

2109 N Veterans Pkwy
Bloomington, IL 61704-0910

Mailing address

2109 N Veterans Pkwy
Bloomington, IL 61704-0910

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
I20191111001830 IL Practitioner - Optometry 6103258280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1015 S Mercer Ave
Bloomington, IL 61701-7107
Phone (309) 213-9200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011338ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Illinois Family Eyecare LLC Optometrist CurrentSince Nov 1, 2019 Accepting new patients
Central Illinois Family Eyecare LLC Optometrist CurrentSince Nov 1, 2019 Accepting new patients

Locations

1015 S Mercer Ave
Bloomington, IL 61701
Phone (309) 662-0088

1015 S Mercer Ave
Ste GF4
Bloomington, IL 61701

2109 N Veterans Pkwy
Ste 2
Bloomington, IL 61704
Phone (309) 663-2211

7815 N Knoxville Ave
Ste 1A
Peoria, IL 61614
Phone (309) 690-3336

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1396399374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 N VETERANS PKWY",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617040910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 N VETERANS PKWY",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617040910",
            "telephone_number": "309-663-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ASHLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.