Individual provider Active NPI

Tyson J Herrmann, O.D.

  • Optometrist
  • Decatur, IL
National Provider Identifier
1427099951
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009537 Issued in IL
Practice address
304 W Hay St
Suite 311
Decatur, IL 62526-6328
Phone
(217) 698-3030
Fax
(217) 698-4728
NPI assigned
Jun 8, 2006
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009537 IL Primary

Addresses

Primary practice location

304 W Hay St
Suite 311
Decatur, IL 62526-6328

Mailing address

1104 N Vermilion St
Danville, IL 61832-3094
Phone (217) 442-2631

Other practice location 1

1104 N Vermilion St
Danville, IL 61832-3094
Phone (217) 442-2631

Other identifiers 2

IdentifierTypeStateIssuer
046009537MedicaidIL
180022789OtherILRR MEDICARE

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
I20060505000633 IL Practitioner - Optometry 4880605849 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chittick Family Eye Care LTDGroup PAC ID 8628059995, 16 clinicians
Rieger Eyecare LTDGroup PAC ID 1153404066, 3 clinicians

Practice addresses (Care Compare)

1104 N Vermilion St
Danville, IL 61832-3094
Phone (217) 442-2631

407 Kays Dr
Suite a
Normal, IL 61761-1958
Phone (309) 825-3735

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009537ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chittick Family Eye Care LTD Optometrist CurrentSince Mar 25, 2025 Accepting new patients
Prairie Eye Center, LTD Optometrist CurrentSince Apr 3, 2017 Accepting new patients
Rieger Eyecare LTD. Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

1104 N Vermilion St
Danville, IL 61832
Phone (217) 398-2020

960 E Mound Rd
Decatur, IL 62526
Phone (217) 877-5050

851 E Orange St
Hoopeston, IL 60942
Phone (217) 283-7611

407 Kays Dr
#A
Normal, IL 61761
Phone (309) 454-1010

209 E Grove Ave
Rantoul, IL 61866
Phone (217) 892-2727

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

112 E Walnut St
Watseka, IL 60970
Phone (815) 432-2020

Organizations & group practices 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1427099951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323094",
            "telephone_number": "217-442-2631",
            "fax_number": "217-442-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W HAY ST",
            "address_2": "SUITE 311",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266328",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-4728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 N Vermilion St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IL",
            "postal_code": "618323094",
            "country_code": "US",
            "telephone_number": "217-442-2631",
            "fax_number": "217-442-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "TYSON",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009537",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180022789",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.