Janna F Brockman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009967 Issued in IL

Practice address

255 Lincoln Mall Dr
Matteson, IL 60443-2328

Phone

(708) 481-8722

Fax

(708) 481-8719

NPI assigned

Aug 5, 2007

Last updated

Dec 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Janna F Lindemulder Former name

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chittick Family Eye Care LTDGroup PAC ID 8628059995, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.15 of 100Reported as group

Quality

77.89

Improvement activities

40

Cost

10

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Chittick Family Eye Care LTD

  dba Leon Optometric Clinic

  • Ophthalmology Physician
  • Danville, IL
  • NPI 1336246552

  Optometrist

  Medicare reassignment Care Compare group NPD
• Luxottica of America Inc.

  dba Lenscrafters #011

  • Eyewear Supplier
  • Arlington Heights, IL
  • NPI 1588738546
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1780875898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 LAKESIDE PL",
            "address_2": "UNIT 304",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771985",
            "telephone_number": "708-614-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LINCOLN MALL DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432328",
            "telephone_number": "708-481-8722",
            "fax_number": "708-481-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "JANNA",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNA",
            "last_name": "LINDEMULDER",
            "middle_name": "F",
            "credential": "JANNA JASPER OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherri Bracken
• Rossley Bradley
• Sarah Marie Brandt, N/A
• Amanda Briick
• Ashley Broadnax
• Natasha Brown Harris
• Marcene P Brown, LPNCDP
• Katelyn Bruni
• Saundra Brunson
• Michael Brunsting, PTA

• Optometrist in Matteson, IL
• Providers in Matteson, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.

Verify at the official NPI Registry.