Nicole Tony Hanna, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-011656 Issued in IL

Practice address

6800 N Knoxville Ave
Peoria, IL 61614-2890

Phone

(309) 692-2020

Fax

(309) 692-2181

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Naper Grove Vision Care, P.C.Group PAC ID 4082696448, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.5 of 100Reported as group

Quality

93.83

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.hanna.p1@direct.bondeye.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Naper Grove Vision Care, P.C.

  dba Naper Grove Vision Care

  • Specialist
  • Naperville, IL
  • NPI 1104822642
  Medicare reassignment Care Compare group NPD
• Bond Eye Associates, SC

  • Ophthalmology Physician
  • Pekin, IL
  • NPI 1285725903

  Optometrist

  Medicare reassignment NPD
• Naper Grove Vision Care, P.C.

  dba Naper Grove Vision Care

  • Optometrist
  • Downers Grove, IL
  • NPI 1568561447
  NPD
• Bond Eye Associates, S.C.

  • Optician
  • Canton, IL
  • NPI 1104025485
  NPD (past)
• Bond Eye Associates, S.C.

  • Optician
  • Peoria, IL
  • NPI 1609075985
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1447977137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S 14TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545073",
            "telephone_number": "309-353-6660",
            "fax_number": "309-353-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142890",
            "telephone_number": "309-692-2020",
            "fax_number": "309-692-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Pekin",
            "state": "IL",
            "postal_code": "615545073",
            "country_code": "US",
            "telephone_number": "309-353-6660",
            "fax_number": "309-353-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "NICOLE",
        "middle_name": "TONY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-011656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Jessica Hanks, M.D.
• Rachael L Hanley, RBT
• Whitney Lee Hanlon, DPT
• Eyad Michael Hanna, MD
• Vaughn Hanna, MD
• Reid H. Hansen, M.D.
• Sheila B Hansen, CRNA
• Steven Hansen
• Martin R Hanson, LCPC

• Optometrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.