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VISION SALON EYE CARE ASSOCIATES
NPI 1487727046
Optometrist in Blue Island, IL

Active since November 15, 2006CLIA 14D1084737 · Waiver
12812 WESTERN AVE, BLUE ISLAND, IL 60406(708) 385-0013(708) 385-1175 Get Directions Write a Review

NPPES record last updated: November 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vision Salon Eye Care Associates NPPES

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

VISION SALON EYE CARE ASSOCIATES (NPI 1487727046) is a healthcare organization registered as an optometrist in Blue Island, Illinois and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Ansel T Johnson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1487727046
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTHE VISION SALON, LTD.
Location Address12812 WESTERN AVEBlue Island, IL 60406-2118
Mailing Address12812 Western AveBlue Island, IL 60406-2118 · (708) 385-0013 · Fax (708) 385-1175
Phone(708) 385-0013
Fax(708) 385-1175
Organization SubpartNo
Authorized OfficialAnsel T JohnsonPresident/owner · (708) 385-0013
Enumeration DateNovember 15, 2006
Last NPPES UpdateNovember 24, 2010
✔ NPI 1487727046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
12812 WESTERN AVE, Blue Island, IL 60406
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Other Names 1

Doing Business AsVision Salon Eye Care Associates

Other Identifiers 4

Medicare ID-Type Unspecified410011831Railroad Medicare Id
Other1636075IL · Bcbs Of Il Id
Medicare ID-Type Unspecified207702
Medicare NSC0718670001

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vision Salon Eye Care Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Vision Salon Eye Care Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ansel Johnson, OD
Optometry
NPI 1023106309
12812 WESTERN AVE
Blue Island, IL 60406
(708) 385-0013
✔ PECOS✔ Accepts MedicareSame address
Dana Shannon, OD
Optometry
NPI 1194498550
700 E OGDEN AVE STE 200
Westmont, IL 60559
(630) 323-7300
✔ PECOS✔ Accepts Medicare17 mi
Leonidas Johnson, OD
Optometry
NPI 1912022641
12812 WESTERN AVE
Blue Island, IL 60406
(708) 385-0013
✔ PECOS✔ Accepts Medicare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1084737

Vision Salon Eye Care Associates · Blue Island, IL
Active · expires Jun 2, 2028
CLIA Number14D1084737
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorAnsel T. Johnson
Laboratory Phone(708) 385-0013
Laboratory LocationVision Salon Eye Care Associates12812 S Western Ave, Blue Island, IL 60406
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 The Vision Salon, Ltd.'s NPI number?

The NPI number for The Vision Salon, Ltd. is 1487727046. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Vision Salon Eye Care Associates.

Where is The Vision Salon, Ltd. located?

The Vision Salon, Ltd. is located at 12812 Western Ave, Blue Island, IL 60406. The listed phone number is (708) 385-0013.

What is The Vision Salon, Ltd.'s specialty?

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

Is The Vision Salon, Ltd. enrolled in Medicare?

Yes. The Vision Salon, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Vision Salon, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to The Vision Salon, Ltd.. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Vision Salon, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1084737) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Vision Salon, Ltd. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list The Vision Salon, Ltd. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Vision Salon, Ltd. was last updated on November 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.