Active NPI
Erika Kristine Cleland, OD
- Optometrist
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010464
- Practice address
- 1 N Virginia St
Crystal Lake, IL 60014-4157 - Phone
- (815) 455-9393
- NPI assigned
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010464 | IL | Primary |
Addresses
Primary practice location
1 N Virginia St
Crystal Lake, IL 60014-4157
Mailing address
1 N Virginia St
Crystal Lake, IL 60014-4157
Phone (815) 455-9393
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 N Virginia St
Crystal Lake, IL 60014-4157
Phone (815) 455-9393
2100 Troy Rd
Edwardsville, IL 62025-2595
Phone (618) 656-8888
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046010464 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horner Eye Care LTD | Optometrist | Current | Accepting new patients |
| Christina J. Levi O D P C | Optometrist | Current | Accepting new patients |
| Christina J. Levi O D P C | Optometrist | Past | Accepting new patients |
Locations
111 E 4th St
Ste 440
Alton, IL 62002
211 E Broadway
Alton, IL 62002
Phone (314) 787-0681
1 N Virginia St
Crystal Lake, IL 60014
Phone (815) 455-9393
2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888
10016 N Main St
Richmond, IL 60071
Phone (815) 678-3937
1603 N Alpine Rd
Ste 121
Rockford, IL 61107
Phone (815) 397-5959
Organizations & group practices 3
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.
-
- Optometrist
- Edwardsville, IL
- NPI 1477703411
-
- Optometrist
- Richmond, IL
- NPI 1801098157
-
- Optometrist
- Edwardsville, IL
- NPI 1033261904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1740577956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N VIRGINIA ST",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600144157",
"telephone_number": "815-455-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N VIRGINIA ST",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600144157",
"telephone_number": "815-455-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLELAND",
"first_name": "ERIKA",
"middle_name": "KRISTINE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.