Unknown Individual – Optometrist, NPI 1043373871
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
1st Drive, South Shores, Decatur, Macon County, Illinois, 62525, United States
DECATUR, IL 625215207
Phone: (217) 422-3881
Fax: (217) 422-3883
Type: Location
8309, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States
PEORIA, IL 616152170
Phone: (309) 693-9540
Fax: (309) 693-9754
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: CooperVision Inc. ($117).
Total Amount
$142
General + Research + Ownership
Payments
2
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $117 |
| ConvaTec Inc. | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 69 | 69 | $0 |
| 92004 | New patient complete exam of visual system | 39 | 39 | $0 |
| 92134 | Imaging of retina | 15 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 62521)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| - | IL | |
| - | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.