UTANG EKPO (O.D.) – Optometrist, NPI 1912389446

UTANG EKPO (O.D.) is a healthcare provider. based in Danville, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046011055 (IL). The NPI Number for UTANG EKPO (O.D.) is 1912389446

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
UTANG EKPO (O.D.)
NPI
1912389446
Phone
(217) 213-6264
Address
3679 N VERMILION ST
Enumeration Date
20 June 2015
Last Update Date
10 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9723359529
Graduation Year
2021 (5 years ago)
PAC ID
5698113108
Group Practice PAC ID
1355442500
Professional Enrollment ID
I20240403001788
Address ID
TX750349474FR2601XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for UTANG EKPO (O.D.)

  • 3679 N VERMILION ST

    SUITE A

    DANVILLE, IL 618321167

    Phone: (217) 213-6264

    Fax: (217) 213-6312

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-04-03

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
I20240403001788IOptometryTXTBD

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 61832)

Loading plans...

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: 1355442500View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YVA
O P T O M E T R YTX
O P T O M E T R YCA

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.

Frequently asked questions

What is the 10-digit NPI for UTANG EKPO (O.D.)?
UTANG EKPO (O.D.) — NPI 1912389446 — is the standard way to identify this listing.
Does CMS list UTANG EKPO (O.D.) as active?
Yes — UTANG EKPO (O.D.) is active in the NPI listing used on this page.
What is UTANG EKPO (O.D.)'s primary classification?
Optometrist is the headline specialty for UTANG EKPO (O.D.) here. Clinical services aligned with this taxonomy classification.
Where is UTANG EKPO (O.D.) based?
UTANG EKPO (O.D.) is tied to Danville, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

1104, North Vermilion Street, Danville, Vermilion County, Illinois, 61832, United States
NPI: 1891772331
1104, North Vermilion Street, Danville, Vermilion County, Illinois, 61832, United States
NPI: 1790762243
1104, North Vermilion Street, Danville, Vermilion County, Illinois, 61832, United States
NPI: 1720065246
1104, North Vermilion Street, Danville, Vermilion County, Illinois, 61832, United States
NPI: 1073590592
1901, Kensington Knoll Drive, The Trails at Brittany, Champaign, Champaign County, Illinois, 61822, United States
NPI: 1104899053
2020 W ILES AVNEUE
NPI: 1427099951
7, Della Court, Savoy, Champaign County, Illinois, 61874, United States
NPI: 1811932775
1104, North Vermilion Street, Danville, Vermilion County, Illinois, 61832, United States
NPI: 1821013582