CMS-1500 Box 24J / 33a • NPI
1952454191
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
152W00000X (CMS 41)
Licensed & Credentialed Eye and Vision Service Providers — Optometrist
Box 32 Service Location & ZIP+4
1802 N. DIVISION ST., SUITE 205, MORRIS, IL, 60450
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952454191 (JEFFREY J BLANCO, O.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1952454191)
Medicare Beneficiaries
510
Total Billed Services
7,392
Distinct CPT/HCPCS Codes
18
Medicare Allowed Total
$70,762.50
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
66821 | Removal of recurring cataract in lens capsule using a laser | 1,687 |
66984 | Removal of cataract with insertion of prosthetic lens | 4,520 |
92012 | Established patient problem focused exam of visual system | 332 |
92014 | Established patient complete exam of visual system | 18 |
92083 | Exam of visual field with extended testing | 72 |
92133 | Imaging of optic nerve | 118 |
92134 | Imaging of retina | 111 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 124 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Brimonidine Tartrate Brimonidine Tartrate | 17 | <11 |
| Dorzolamide Hcl Dorzolamide Hcl | 13 | <11 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 73 | 18 |
| Latanoprost Latanoprost | 274 | 56 |
| Lumigan Bimatoprost | 15 | <11 |
| Prednisolone Acetate Prednisolone Acetate | 20 | 14 |
| Restasis Cyclosporine | 12 | <11 |
| Timolol Maleate Timolol Maleate | 20 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952454191 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JEFFREY J BLANCO, O.D. |
| Plain-English Specialty | Licensed & Credentialed Eye and Vision Service Providers — Optometrist NUCC Code: 152W00000X (Optometrist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1802 N. DIVISION ST., SUITE 205, MORRIS, IL, 60450 |
| Practice Telephone / Fax | Tel: (815) 942-3042 |
| Administrative Mailing Address | 200 W DAKOTA ST, SPRING VALLEY, IL, 61362-1906 |
| Enumeration & Last Sync | Enumerated: 2007-01-19 | CMS Record Updated: 2021-03-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in MORRIS
🔒 Are you JEFFREY J BLANCO, O.D.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (152W00000X)
What Does Taxonomy Code 152W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JEFFREY J BLANCO, O.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
152W00000X — OptometristPlain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist | State: IL | License: 46-6809 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.