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EYESITE-ILLINOIS VALLEY, L.L.C.
NPI 1245371509
Optometrist in Ottawa, IL

Active since February 09, 2007
925 CLINTON ST, OTTAWA, IL 61350(815) 434-7970(815) 434-7950 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2021, Dec 14, 2020 (2 updates tracked since 2020).

About Eyesite-illinois Valley, L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYESITE-ILLINOIS VALLEY, L.L.C. (NPI 1245371509) is a healthcare organization registered as an optometrist in Ottawa, Illinois and active in the NPI registry since February 2007. The organization lists Kent Kunkel, Owner, as its authorized official.

NPPES Registry Identity

NPI1245371509
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYESITE-ILLINOIS VALLEY, L.L.C.
Location Address925 CLINTON STOttawa, IL 61350-2037
Mailing Address925 Clinton StOttawa, IL 61350-2037 · (815) 434-7970 · Fax (815) 434-7950
Phone(815) 434-7970
Fax(815) 434-7950
Organization SubpartNo
Authorized OfficialKent KunkelOwner · (815) 434-7970
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1245371509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 46-008411
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
925 CLINTON ST, Ottawa, IL 61350
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eyesite-illinois Valley, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Eyesite-Illinois Valley, L.L.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Cameron Phalen
Optometry
NPI 1447194139
215 RICHARD A MAUTINO DR
Spring Valley, IL 61362
(815) 664-5331
✔ PECOS17 mi
Beth Kunkel, O.D.
Optometry
NPI 1912050527
215 RICHARD A MAUTINO DR
Spring Valley, IL 61362
(815) 664-5331
✔ PECOS✔ Accepts Medicare19 mi
Kent Kunkel, O.D.
Optometry
NPI 1134272842
215 RICHARD A MAUTINO DR
Spring Valley, IL 61362
(815) 664-5331
✔ PECOS✔ Accepts Medicare19 mi
Lauren Uhlenhopp, OD
Optometry
NPI 1023631744
215 RICHARD A MAUTINO DR
Spring Valley, IL 61362
(815) 664-5331
✔ PECOS✔ Accepts Medicare19 mi
Alex Uhlenhopp
Optometry
NPI 1578055521
422 S PIERCE AVE STE 1
Mason City, IA 50401
(641) 424-0780
✔ PECOS✔ Accepts Medicare256 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Eyesite carries, from the Medicare DMEPOS supplier directory.

Eyesite

DMEPOS supplier · Ottawa, ILOperated by Eyesite-Illinois Valley, LLC
✔

Accepts Medicare assignment

Eyesite agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20607461
Medicare Participant SinceJanuary 1, 2002
Supplier Location925 Clinton StOttawa, IL 61350
Phone(815) 434-7970
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eyesite-Illinois Valley, L.L.C.'s NPI number?

The NPI number for Eyesite-Illinois Valley, L.L.C. is 1245371509. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Eyesite-Illinois Valley, L.L.C. located?

Eyesite-Illinois Valley, L.L.C. is located at 925 Clinton St, Ottawa, IL 61350. The listed phone number is (815) 434-7970.

What is Eyesite-Illinois Valley, L.L.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eyesite-Illinois Valley, L.L.C. enrolled in Medicare?

Yes. Eyesite-Illinois Valley, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eyesite-Illinois Valley, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Eyesite-Illinois Valley, L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eyesite-Illinois Valley, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eyesite accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Eyesite-Illinois Valley, L.L.C. was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.