Kevin Lee Glancy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

468240 Issued in IL

Practice address

2000 N Neil St
Champaign, IL 61820-7808

Phone

(217) 356-4619

Fax

(217) 356-3052

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Indiana University - School of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luke Joseph Armstrong, OD

  • Optometrist
  • Mattoon, IL
  • NPI 1063030302
  Medicare reassignment
• Laura Lynne Freeman, O.D.

  • Optometrist
  • Champaign, IL
  • NPI 1366566473
  Medicare reassignment

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.

• Dr. Kevin Glancy and Associates

  • Optometrist
  • Champaign, IL
  • NPI 1801913124
  NPD (past) Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790850345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207808",
            "telephone_number": "217-356-4619",
            "fax_number": "217-356-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207808",
            "telephone_number": "217-356-4619",
            "fax_number": "217-356-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANCY",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "468240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Gillett
• Pushpa Balgiri Giri, M.D.
• Laura Mary Girouard, M.S., CCC-SLP
• Jessica E Giroux, LPC
• Jessica Noelle Giuffrida, LPC
• Jennifer L Gleason, M.A.
• Brittany Glenn
• Celia Glenn
• Grace Glidewell
• Bradley Carlyle Goben, MA LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.