Individual provider Active NPI

John Thomas Giannone, O.D.

  • Optometrist
  • Morris, IL
National Provider Identifier
1922050707
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-0006846 Issued in IL
Practice address
333 E US Route 6
Morris, IL 60450-8920
Phone
(815) 942-5918
Fax
(815) 942-4794
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-0006846 IL Primary

Addresses

Primary practice location

333 E US Route 6
Morris, IL 60450-8920

Mailing address

333 E US Route 6
Morris, IL 60450-8920
Phone (815) 942-5918

Other identifiers 1

IdentifierTypeStateIssuer
046006846MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061219000050 IL Practitioner - Optometry 3678572716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 E US Route 6
Morris, IL 60450-8920
Phone (815) 942-5918

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
046-0006846ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rucnok Vision Care Inc Optometrist CurrentSince Oct 15, 2009 Accepting new patients

Locations

333 E US Route 6
Morris, IL 60450
Phone (815) 942-1662

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1922050707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604508920",
            "telephone_number": "815-942-5918",
            "fax_number": "815-942-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604508920",
            "telephone_number": "815-942-5918",
            "fax_number": "815-942-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNONE",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-0006846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006846",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.