PONTIAC FAMILY EYE CARE LLC
NPI 1700286143
Optometrist in Pontiac, IL

Q: What is Pontiac Family Eye Care LLC's NPI number?

The NPI number for Pontiac Family Eye Care LLC is 1700286143. It was assigned to this organization in the NPPES registry on September 3, 2014.

Q: What is Pontiac Family Eye Care LLC's specialty?

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

Active since September 03, 2014CLIA 14D1057643 · Waiver

320 N LADD ST, PONTIAC, IL 61764(815) 842-4304(815) 844-5495 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pontiac Family Eye Care Llc NPPES

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

PONTIAC FAMILY EYE CARE LLC (NPI 1700286143) is a healthcare organization registered as an optometrist in Pontiac, Illinois and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Bryan M Stoller, Owner, as its authorized official.

NPPES Registry Identity

NPI1700286143

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePONTIAC FAMILY EYE CARE LLC

Location Address320 N LADD STPontiac, IL 61764-1612

Mailing Address320 N Ladd StPontiac, IL 61764-1612 · (815) 843-4304 · Fax (815) 844-5495

Phone(815) 842-4304

Fax(815) 844-5495

Organization SubpartYesParent: Horizon Vision Group Sole Mbr

Authorized OfficialBryan M StollerOwner · (815) 842-4304

Enumeration DateSeptember 3, 2014

✔ NPI 1700286143 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.

320 N LADD ST, Pontiac, IL 61764

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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

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 14D1057643

Pontiac Family Eye Care LLC · Pontiac, IL

Active · expires Aug 16, 2026

CLIA Number14D1057643

Laboratory TypePractitioner Other

Certificate Effective DateAugust 17, 2024

Certificate Expiration DateAugust 16, 2026

Laboratory DirectorBryan M. Stoller

Laboratory Phone(815) 842-4304

Laboratory LocationPontiac Family Eye Care LLC320 N Ladd St, Pontiac, IL 61764

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

99%195 patients4/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…

34%50 patients2/55-star benchmark: 100%

Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy

Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…

96%55 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

70%2,298 patients2/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 99% · 558 patients

Patients tobacco: 99% · 558 patients

98%43 patients5/55-star benchmark: 98%

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months

95%81 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Pontiac Family Eye Care LLC carries, from the Medicare DMEPOS supplier directory.

Pontiac Family Eye Care LLC

DMEPOS supplier · Pontiac, IL

✔

Accepts Medicare assignment

Pontiac Family Eye Care LLC 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)20505395

Medicare Participant SinceJune 4, 2014

Supplier Location320 N Ladd StPontiac, IL 61764

Phone(815) 842-4304

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Prosthetic Lenses: Prosthetics Cataract Lenses

Cataract Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY EYE CARE OF PONTIAC, LLC

Optometrist