Lori L Dewall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

46-8516 Issued in IL

Practice address

980 W South St
Freeport, IL 61032-6777

Phone

(815) 235-3466

Fax

(815) 235-1712

NPI assigned

Aug 19, 2006

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 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

Indiana University - School of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Optometric Center P CGroup PAC ID 8325164833, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lori.dewall@direct.revolutionehr.com

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.

• Freeport Optometric Center P C

  dba Best in Sight

  • Optometrist
  • Freeport, IL
  • NPI 1538151592
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1952415465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W SOUTH ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326777",
            "telephone_number": "815-235-3466",
            "fax_number": "815-235-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W SOUTH ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326777",
            "telephone_number": "815-235-3466",
            "fax_number": "815-235-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALL",
        "first_name": "LORI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-8516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-8516",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Demichele, M.A. CCC/SLP-L
• Dental Connnections
• Christi Despain
• Krista Jo Deutsch
• Sandra Devries, M ED
• Ronald Keith Dickey, DPM
• Aileen Diehl, MD
• Katherine A Diemer, MD
• Nikolas S Diemer, OD
• Kei'Asia Dixson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.