Utang Ekpo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011055 Issued in IL

Practice address

3679 N Vermilion St
Suite a
Danville, IL 61832-1167

Phone

(217) 213-6264

Fax

(217) 213-6312

NPI assigned

Jun 20, 2015

Last updated

Aug 10, 2016By 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

Medicare fee-for-service enrollment

Enrolled in TX

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James a Williams O.D.P.C.Group PAC ID 1355442500, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James a Williams O.D.P.C.

  • Corneal and Contact Management Optometrist
  • Plano, TX
  • NPI 1326199381
  Medicare reassignment Care Compare group NPD
• Behold Star Eyes Limited Liability Company Utang Ekpo Sole MBR

  • Optometrist
  • Danville, IL
  • NPI 1003575762
  NPD Authorized official
• James a Williams, OD, PC

  • Optometrist
  • Fairview, TX
  • NPI 1083929632
  NPD
• James a. Williams O.D.P.C.

  • Corneal and Contact Management Optometrist
  • Frisco, TX
  • NPI 1841341716
  NPD
• HW Holdings

  dba All About Eyes

  • Eyewear Supplier
  • Danville, IL
  • NPI 1770033722
  NPD (past)

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1912389446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3679 N VERMILION ST",
            "address_2": "SUITE A",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321167",
            "telephone_number": "217-213-6264",
            "fax_number": "217-213-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3679 N VERMILION ST",
            "address_2": "SUITE A",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321167",
            "telephone_number": "217-213-6264",
            "fax_number": "217-213-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKPO",
        "first_name": "UTANG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-20",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Renee Eck, APN
• Lori L. Eckhardt, CCC-SLP
• Hilary L Edgerly, LCSW
• Kristine Ehlers, MS, FNP-BC
• Mary E Eident, FNP-C
• Sarah Elder
• Elghammer Family Center
• Richard W Elghammer, PH.D.
• Craig Baity Elliott, M.D.
• Stephanie Marie Elliott, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.