DR. BRIAN D HENSON (O.D.) – Optometrist, NPI 1184782112

DR. BRIAN D HENSON (O.D.) is a healthcare provider. based in Pontiac, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-007747 (IL). The NPI Number for DR. BRIAN D HENSON (O.D.) is 1184782112

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN D HENSON (O.D.)
NPI
1184782112
Phone
(815) 419-2019
Address
1712 W REYNOLDS ST
Enumeration Date
4 December 2006
Last Update Date
7 January 2014

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8154192019
Graduation Year
1984 (42 years ago)
PAC ID
8325145683
Group Practice PAC ID
3173519014
Professional Enrollment ID
I20070521000528
Address ID
IL617649695PO1712XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. BRIAN D HENSON (O.D.)

  • 1712, West Reynolds Street, Pontiac, Pontiac Township, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617649695

    Phone: (815) 419-2019

    Fax: (815) 419-2021

    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

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070521000528IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1616$0
View full utilization report →

Insurance plans in this area (ZIP 61764)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173519014View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
-IL
O P T O M E T R YIL
O P T O M E T R YIL
-IL
-IL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is DR. BRIAN D HENSON (O.D.)'s NPI number?
DR. BRIAN D HENSON (O.D.)'s NPI is 1184782112 — the number used across U.S. healthcare to identify this provider.
Is DR. BRIAN D HENSON (O.D.) shown as active in public data?
Registry records indicate DR. BRIAN D HENSON (O.D.) maintains an active NPI.
How would a patient describe DR. BRIAN D HENSON (O.D.)'s focus?
For DR. BRIAN D HENSON (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. BRIAN D HENSON (O.D.) registered?
Use Pontiac, Illinois as the headline location for DR. BRIAN D HENSON (O.D.) here.
Can I trust this NPI listing for DR. BRIAN D HENSON (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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