Elissa Sue Harvey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-010446 Issued in IL

Practice address

400 N Broadway Ave
Salem, IL 62881-1514

Phone

(618) 548-3506

Fax

(618) 548-2555

NPI assigned

Jul 12, 2011

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

• Dr. Elissa Sue Hefley 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

Southern College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt. Vernon Eye Clinic, PLLCGroup PAC ID 6507200656, 2 clinicians

Salem Eye Clinic LLCGroup PAC ID 1456386697, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.56 of 100Reported as group

Quality

69.11

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mt. Vernon Eye Clinic, PLLC

  • Optometrist
  • Mount Vernon, IL
  • NPI 1275394009
  Medicare reassignment Care Compare group NPD
• Salem Eye Clinic LLC

  • Optometrist
  • Salem, IL
  • NPI 1205980786
  Medicare reassignment Care Compare group
• Springfield Clinic, LLP

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1780638478
  NPD (past)

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1811285869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BROADWAY AVE",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811514",
            "telephone_number": "618-548-3506",
            "fax_number": "618-548-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BROADWAY AVE",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811514",
            "telephone_number": "618-548-3506",
            "fax_number": "618-548-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Westwood Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642212",
            "country_code": "US",
            "telephone_number": "618-242-7810",
            "fax_number": "618-242-1867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "ELISSA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-010446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "HEFLEY",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Jean Goostree, RN
• Tiffanie Haarmann, LPC
• Seth Hahs, MD
• Harper Back Pain Clinic
• Curtis Ryan Harper, D.C.
• Brooke Marli Hays
• Emily Headley, DPT
• Helia Healthcare of Salem LLC
• Ashley Brooke Hemker
• High Point Residence Salem North, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.