Kerry Howard Head, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

047928330 Issued in IL

Practice address

205 Tenney St
Kewanee, IL 61443-3494

Phone

(309) 854-0010

Fax

(309) 854-0010

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivetta S Daccache, O.D.

  • Optometrist
  • Pekin, IL
  • NPI 1790772143
  Medicare reassignment
• Katherine Loretta Murphy Dunne, O.D.

  • Optometrist
  • Dubuque, IA
  • NPI 1639456411

  IL

  Medicare reassignment

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.

• Kerry Head and Associates

  • Optometrist
  • Kewanee, IL
  • NPI 1770856437
  NPD (past) Authorized official
• Central Illinois Family Eyecare LLC

  • Optometrist
  • Peoria, IL
  • NPI 1053852020
  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1902993652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 TENNEY ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614433494",
            "telephone_number": "309-854-0010",
            "fax_number": "309-854-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 TENNEY ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614433494",
            "telephone_number": "309-854-0010",
            "fax_number": "309-854-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "KERRY",
        "middle_name": "HOWARD",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "047928330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "47924",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Gustafson
• Hammond Henry Dist Hospital
• Riley Hansen
• Nicole Lynn Harmon, PA
• Linda Ann Harris-Teach, RD, LD
• Cathy Heeren, RPH
• Amy Henderson
• Henry Stark Cty Spec Edu Dist
• Aileene Marie Herro, RPH
• Brooke Ann Hickman, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.