John Ichishita, O.D.
NPI 1164854386 · Optometrist · Libertyville, IL
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Ichishita, O.D. is a Optometrist provider in Libertyville, IL (NPI 1164854386).
Provider details
- NPI number
- 1164854386
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 046.010675 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
83 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Complete Exam of Visual System92014 | 29 | $96 |
| New Patient Complete Exam of Visual System92004 | 23 | $95 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 16 | $94 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 15 | $59 |
Typical Medicare-allowed amounts for these services range $59–$96 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$86 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 824 N Il Route 83Mundelein, IL 60060-9159Phone: (847) 362-2020
Registry dates
- Enumerated
- 2013-07-30
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Frequently asked questions
- What is John Ichishita's NPI number?
- John Ichishita's National Provider Identifier (NPI) is 1164854386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Ichishita's specialty?
- John Ichishita is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is John Ichishita located?
- John Ichishita's practice location on file with NPPES is 730 N Milwaukee Ave, Libertyville, IL 60048-1914.
- What is John Ichishita's phone number?
- The practice phone number listed in the NPPES registry for John Ichishita is (847) 362-9900.
- Does John Ichishita accept Medicare?
- John Ichishita is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Ichishita's NPI active?
- Yes — John Ichishita's NPI (1164854386) is active in the NPPES registry as of the last update on 2025-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.