Individual provider Active NPI

Elizabeth Kelly Hanno, O.D.

  • Optometrist
  • Flossmoor, IL
National Provider Identifier
1750397337
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.009788 Issued in IL
Practice address
1030 Sterling Ave
Flossmoor, IL 60422-1234
Phone
(708) 798-0202
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009788 IL Primary

Addresses

Primary practice location

1030 Sterling Ave
Flossmoor, IL 60422-1234

Mailing address

1030 Sterling Ave
Flossmoor, IL 60422-1234
Phone (708) 798-0202

Other practice location 1

948 W Madison St
Chicago, IL 60607-2741
Phone (312) 829-6800

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
I20070601000292 IL Practitioner - Optometry 2769580570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1030 Sterling Ave
Flossmoor, IL 60422-1234
Phone (708) 798-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.009788ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Apr 13, 2019 Accepting new patients
Visionworks, Inc CurrentSince Apr 13, 2019 Accepting new patients
Eyes on Sterling LLC Optometrist CurrentSince Apr 20, 2022 Accepting new patients
Eyezone Eyecare, Inc. Optometrist Past Accepting new patients

Locations

1030 Sterling Ave
Flossmoor, IL 60422
Phone (708) 647-0740

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

Interoperability endpoints

  • Direct secure messaging: elizabeth.hanno@uprisedirect.com

Organizations & group practices 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1750397337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 STERLING AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221234",
            "telephone_number": "708-798-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 STERLING AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221234",
            "telephone_number": "708-798-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "948 W Madison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072741",
            "country_code": "US",
            "telephone_number": "312-829-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNO",
        "first_name": "ELIZABETH",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.