NICOLE TONY HANNA (OD) – Optometrist, NPI 1447977137

NICOLE TONY HANNA (OD) is a healthcare provider. based in Pekin, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046-011656 (IL). The NPI Number for NICOLE TONY HANNA (OD) is 1447977137

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE TONY HANNA (OD)
NPI
1447977137
Phone
(309) 353-6660
Address
725 S 14th St
Enumeration Date
24 October 2022
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6303573511
Graduation Year
2022 (4 years ago)
PAC ID
7315311255
Group Practice PAC ID
4082696448
Professional Enrollment ID
I20230316001027
Address ID
IL605405368NA29XXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for NICOLE TONY HANNA (OD)

  • 725 S 14th St

    Pekin, IL 615545073

    Phone: (309) 353-6660

    Fax: (309) 353-7664

    Type: Location

  • 725 S 14TH ST

    PEKIN, IL 615545073

    Phone: (309) 353-6660

    Fax: (309) 353-7664

    Type: Mailing

  • 6800 N KNOXVILLE AVE

    PEORIA, IL 616142890

    Phone: (309) 692-2020

    Fax: (309) 692-2181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($97).

Total Amount

$168

General + Research + Ownership

Payments

5

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-16

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
I20230316001027IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61554)

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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: 4082696448View full group profile
NameSpecialtyState
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
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
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 federal number belongs to NICOLE TONY HANNA (OD)?
The federal identifier for NICOLE TONY HANNA (OD) is NPI 1447977137.
Is NICOLE TONY HANNA (OD) currently active in the NPI registry?
CMS-published data lists NICOLE TONY HANNA (OD) as an active registrant.
Does NICOLE TONY HANNA (OD) list a primary specialty?
If you are matching referrals, note Optometrist for NICOLE TONY HANNA (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for NICOLE TONY HANNA (OD)?
The page summarizes Pekin, Illinois for NICOLE TONY HANNA (OD); expand the address list for detail.
How can I contact NICOLE TONY HANNA (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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