Eric Botts, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008560 Issued in IL

Practice address

1730 E Jackson St
Macomb, IL 61455-2531

Phone

(309) 836-3373

Fax

(309) 836-3373

NPI assigned

May 11, 2006

Last updated

Oct 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Eric Botts and Associates LLCGroup PAC ID 5991858011, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.89 of 100Reported as individual

Quality

53.78

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.

• Dr Eric Botts & Associates LLC

  • Optometrist
  • Macomb, IL
  • NPI 1710180922

  IA

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1457301368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552531",
            "telephone_number": "309-836-3373",
            "fax_number": "309-836-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552531",
            "telephone_number": "309-836-3373",
            "fax_number": "309-836-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTS",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008560",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Mark Biagini, M.D.
• Madeline Bickhaus, PMHNP
• Karen Blakeley, DVM
• Joann E. Bloomberg, M.S.ED., LCPC, NCC
• Amanda Michele Bolte, CADC
• Amanda Bourdon, PHARMD
• Michelle M Bowen, PA-C
• Bridgeway Inc
• Bridgeway Inc
• Bridgeway, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.