DR. IVETTA S DACCACHE O.D.
NPI 1790772143
Optometrist in Pekin, IL

Q: What is Ivetta Daccache's NPI number?

The NPI number for Ivetta Daccache is 1790772143. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Q: What is Ivetta Daccache's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ivetta Daccache was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 30, 2005PECOS Enrolled

81.66/100

CMS Quality Rating

725 S 14TH ST, PEKIN, IL 61554(309) 353-6660 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ivetta S Daccache O.d. NPPES

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

DR. IVETTA S DACCACHE O.D. (NPI 1790772143) is an individual optometrist in Pekin, Illinois, licensed in Illinois (046009676) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790772143

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. IVETTA S DACCACHECredential: O.D.

Location Address725 S 14TH STPekin, IL 61554-5073

Mailing Address725 S 14th StPekin, IL 61554-5073 · (309) 353-6660

Phone(309) 353-6660

Sole ProprietorNo

Enumeration DateSeptember 30, 2005

Last NPPES UpdateMay 20, 2013

✔ NPI 1790772143 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 · 046009676

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.

725 S 14TH ST, Pekin, IL 61554

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Other Identifiers 5

Medicare PINK12680IL

Medicare NSC0295700010IL

Medicaid046009676IL

Other7215175IL · Bcbs

Medicare UPINU93396IL

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivetta S Daccache O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

39 services38 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

21 services19 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

81.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.6

Improvement Activities

Cost

43.38

Other Providers at the Same Location NPPES 3

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

ROGER TODD ADLER MD

Ophthalmology

725 S 14TH ST
PEKIN, IL 61554

Tazewell County (309) 353-6660

WILLIAM IRVING BOND M.D.

Ophthalmology

725 S 14TH ST
PEKIN, IL 61554

Tazewell County (309) 353-6660

BOND EYE ASSOCIATES, SC

Ophthalmology

725 S 14TH ST
PEKIN, IL 61554

Tazewell County (309) 353-6660

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 Ivetta Daccache's NPI number?

The NPI number for Ivetta Daccache is 1790772143. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Ivetta Daccache located?

Ivetta Daccache practices at 725 S 14th St, Pekin, IL 61554. The listed phone number is (309) 353-6660.

What is Ivetta Daccache's specialty?

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

Is Ivetta Daccache enrolled in Medicare?

Yes. Ivetta Daccache is registered in the Medicare PECOS enrollment system.

What insurance does Ivetta Daccache accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Ivetta Daccache 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 Ivetta Daccache was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.