Individual provider Active NPI

Ericka Jeannette Garcia, OD

  • Optometrist
  • Bourbonnais, IL
National Provider Identifier
1487389649
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003414 Issued in GA
Practice address
352 Brown Blvd
Bourbonnais, IL 60914-2458
Phone
(815) 932-2020
Fax
(815) 315-4372
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003414 GA Primary

Addresses

Primary practice location

352 Brown Blvd
Bourbonnais, IL 60914-2458

Mailing address

352 Brown Blvd
Bourbonnais, IL 60914-2458
Phone (815) 932-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL2 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

Enrollment IDStateProvider typePAC IDDetails
I20221010002766 GA Practitioner - Optometry 9638555972
I20231017001775 IL Practitioner - Optometry 9638555972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Swale-Nicholson Eye Center SCGroup PAC ID 3173585858, 5 clinicians

Practice addresses (Care Compare)

352 Brown Blvd
Bourbonnais, IL 60914-2458
Phone (815) 932-2020

Merit-based Incentive Payment System (MIPS)

Final score
82.31 of 100Reported as group
Quality
100
Improvement activities
40
Cost
41.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003414GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Swale-Nicholson Eye Center SC Optometrist CurrentSince Oct 1, 2023 Accepting new patients

Locations

352 Brown Blvd
Bourbonnais, IL 60914
Phone (815) 932-2020

Interoperability endpoints

  • Direct secure messaging: egarcia@cec.intellechartdirect.net
  • Direct secure messaging: egarcia@fsneye.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1487389649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 BROWN BLVD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142458",
            "telephone_number": "815-932-2020",
            "fax_number": "815-315-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 BROWN BLVD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142458",
            "telephone_number": "815-932-2020",
            "fax_number": "815-315-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ERICKA",
        "middle_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.