Kerry M John, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009289 Issued in IL

Practice address

715 W Hillgrove Ave
La Grange, IL 60525-5964

Phone

(708) 482-3200

Fax

(708) 482-3288

NPI assigned

Aug 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Kerry M Navin Former name

Electronic endpoints 1

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

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• West End Vision, LTD

  • Corneal and Contact Management Optometrist
  • La Grange, IL
  • NPI 1891454278
  Medicare reassignment NPD Authorized official
• Combs Eyecare and Eyewear LTD

  • Eyewear Supplier
  • Western Springs, IL
  • NPI 1013049832
  Medicare reassignment NPD
• Mark L. Skowron PC

  dba Skowron Eyecare

  • Optometrist
  • Elmhurst, IL
  • NPI 1003940602
  Medicare reassignment NPD
• Dr. Thomas S Flach and Associates

  • Family Medicine Physician
  • Western Springs, IL
  • NPI 1659594430
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1891788212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W HILLGROVE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255964",
            "telephone_number": "708-482-3200",
            "fax_number": "708-482-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W HILLGROVE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255964",
            "telephone_number": "708-482-3200",
            "fax_number": "708-482-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "KERRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046009289",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009289",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@westendvision.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "715 W Hillgrove Ave",
            "city": "LA Grange",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605255964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "NAVIN",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Jeffrey
• Alyssa Jesberger, MSW
• Jessica Mattern DDS, PLLC
• Joey Harman, LCPC, NCC
• John E. Anderson O.D.,LTD
• Megan M John, LCPC
• Gerald Timothy Johnson, M.D.
• Kevin Darnell Johnson, MD
• Carly Jones, PT, OCS, CMT, ATC
• Lavon Jones, OTR/L

• Optometrist in La Grange, IL
• Providers in La Grange, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.