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NPI · 1518027994 · NPPES-sourced

Fox Valley Ophthalmology

ActiveOphthalmology Physician
NPI Number
1518027994
Type 2 · Organisation
Taxonomy Code
207W00000X
Contact
(630) 584-9850
License IL · 042002501
Last Updated
Enumerated
Primary practice addressIL · 60175
40w330 Lafox RoadSt. Charles, IL 60175
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About this NPIWhat this record shows.

NPI 1518027994 is registered to Fox Valley Ophthalmology, a healthcare organisation classified as "Ophthalmology Physician" and located at 40w330 Lafox Road in St. Charles, Illinois. The organisation's authorised official is Alan Hefner. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 3 secondary identifiers beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 2 PECOS enrollment records (each with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 1,238 Ophthalmology Physician providers on file in Illinois.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 4519570IL· Issued by BCBS
  • 379827IL· Issued by UNITED HEALTHCARE
  • CL1986IL· Issued by MEDICARE RAILROAD

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Fox Valley Ophthalmology accepts. To confirm in-network status with your specific health plan, contact Fox Valley Ophthalmology directly at (630) 584-9850.

Frequently asked

Yes. NPI 1518027994 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Ophthalmology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (630) 584-9850.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Fox Valley Ophthalmology is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 1,238 Ophthalmology Physician providers are registered in Illinois, and Fox Valley Ophthalmology is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy207W00000X
Last updated
Enumerated
StatusActive
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4 records · same addressOther providers at this location.

View all in St. Charles →

Same specialtyOther Ophthalmology Physician providers in Illinois.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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