Individual provider Active NPI

Sue A Feather, O.D.

  • Optometrist
  • Morton, IL
National Provider Identifier
1487779658
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008588 Issued in IL
Practice address
829 W Jackson St
Morton, IL 61550-1569
Phone
(309) 266-8881
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008588 IL Primary
Optometrist 152W00000X 4078T TX
Optometrist 152W00000X 1763 CO

Addresses

Primary practice location

829 W Jackson St
Morton, IL 61550-1569

Mailing address

829 W Jackson St
Morton, IL 61550-1569
Phone (309) 266-8881

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
I20031212000347 IL Practitioner - Optometry 0840196408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

829 W Jackson St
Morton, IL 61550-1569
Phone (309) 266-8881

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1763COMDOptometrist
046008588ILMDOptometrist
4078TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus on Eyes, P.C. Optometrist CurrentSince Sep 7, 2001 Accepting new patients

Locations

829 W Jackson St
Morton, IL 61550
Phone (309) 266-8881

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1487779658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 W JACKSON ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501569",
            "telephone_number": "309-266-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 W JACKSON ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501569",
            "telephone_number": "309-266-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEATHER",
        "first_name": "SUE",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008588",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4078T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, IL

Sources for this page

Verify at the official NPI Registry.