Organization Active NPI

Stoneview Eye Care, LLC

  • Optometrist
  • Roscoe, IL
National Provider Identifier
1568042463
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STONEVIEW EYE CARE, LLC
Doing business as
Stoneview Eye Care
Practice address
4775 E Rockton Rd Unit a
Roscoe, IL 61073-9076
Phone
(815) 242-9886
Fax
(815) 242-9809
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Dr. Ryan James Hansen, ODNPI 1407386667
Title
President
Phone
(815) 242-9886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4775 E Rockton Rd Unit a
Roscoe, IL 61073-9076

Mailing address

4775 E Rockton Rd Unit a
Roscoe, IL 61073-9076
Phone (815) 242-9886

Other names 1

  • Stoneview Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210615002235 IL Part B Supplier - Clinic/Group Practice 5698175529 Receives reassigned benefits from 2 practitioners
Practice locations: Roscoe, IL

National Provider Directory

National Provider Directory

Locations

4775 E Rockton Rd
Unit A
Roscoe, IL 61073
Phone (815) 242-9886

4775 E Rockton Rd
Roscoe, IL 61073

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1568042463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 E ROCKTON RD UNIT A",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739076",
            "telephone_number": "815-242-9886",
            "fax_number": "815-242-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 E ROCKTON RD UNIT A",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739076",
            "telephone_number": "815-242-9886",
            "fax_number": "815-242-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEVIEW EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-242-9886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoneview Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roscoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.