Individual provider Active NPI

Steven H Lane, OD

  • Optometrist
  • Forsyth, IL
National Provider Identifier
1952427262
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007319 Issued in IL
Practice address
1351 Hickory Point Dr Ste B
Forsyth, IL 62535-1085
Phone
(217) 875-3724
NPI assigned
Mar 21, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046007319 IL Primary

Addresses

Primary practice location

1351 Hickory Point Dr Ste B
Forsyth, IL 62535-1085

Mailing address

8309 N Knoxville Ave
Peoria, IL 61615-2170
Phone (309) 693-9540

Other practice location 1

420 Broadway Ave E
Mattoon, IL 61938-4604
Phone (217) 235-1100

Other identifiers 1

IdentifierTypeStateIssuer
046007319MedicaidIL

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
I20110121000759 IL Practitioner - Optometry 5698840866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J a K Enterprises IncGroup PAC ID 3173519014, 24 clinicians

Practice addresses (Care Compare)

3755 N Water St
Decatur, IL 62526-1858
Phone (217) 875-3724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007319ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J a K Enterprises Inc Optometrist CurrentSince Jul 31, 2017 Accepting new patients
J a K Enterprises Inc Optometrist CurrentSince Jul 31, 2017 Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist PastSince Nov 1, 2023 Accepting new patients
J a K Enterprises Inc Optometrist PastSince Nov 1, 2020 Accepting new patients

Locations

125 N Main St
Canton, IL 61520
Phone (309) 647-0366

907 W Marketview Dr
Champaign, IL 61822
Phone (217) 351-8822

331 W 1st Dr
Decatur, IL 62521
Phone (217) 422-3881

3755 N Water St
Decatur, IL 62526
Phone (217) 675-7111

412 Riverside Dr
East Peoria, IL 61611
Phone (309) 694-2273

1351 Hickory Point Dr
Ste B
Forsyth, IL 62535
Phone (217) 875-3724

1265 N Henderson St
Galesburg, IL 61401
Phone (309) 343-7799

1689 W Morton Ave
Jacksonville, IL 62650
Phone (217) 243-6506

1477 Woodlawn Rd
Lincoln, IL 62656
Phone (217) 735-1707

17A Litchfield Plz
Litchfield, IL 62056
Phone (217) 385-0922

1700 E College Ave
Ste 3
Normal, IL 61761
Phone (309) 454-2233

3287 Court St
Pekin, IL 61554
Phone (309) 353-9313

4620 N University St
Peoria, IL 61614
Phone (309) 692-8222

8309 N Knoxville Ave
Peoria, IL 61615
Phone (309) 693-9540

8309 N Knoxville Ave
Ste 1
Peoria, IL 61615
Phone (309) 713-3664

3323 Frontage Rd
Peru, IL 61354
Phone (815) 220-0652

1712 W Reynolds St
Pontiac, IL 61764
Phone (309) 693-9540

6232 Broadway St
Quincy, IL 62305
Phone (217) 385-0921

4032 46th Ave
Rock Island, IL 61201
Phone (309) 786-9734

2409 N Dirksen Pkwy
Springfield, IL 62702
Phone (217) 679-5251

3055 Wabash Ave
Springfield, IL 62704
Phone (217) 793-2273

3209 E Lincolnway
Sterling, IL 61081
Phone (815) 626-6006

8 Cherry Tree Shopping Ctr
Washington, IL 61571
Phone (309) 444-2277

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952427262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152170",
            "telephone_number": "309-693-9540",
            "fax_number": "309-693-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 HICKORY POINT DR STE B",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625351085",
            "telephone_number": "217-875-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Broadway Ave E",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384604",
            "country_code": "US",
            "telephone_number": "217-235-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "STEVEN",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007319",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, IL

Sources for this page

Verify at the official NPI Registry.