OrganizationActive
Ippolito Teleoptometric Service, P.C.
NPI 1205670817 · Optometrist · Springfield, IL
Provider details
- NPI number
- 1205670817
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jessica Feliciano, Credentialing Manager(513) 586-2863
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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 methodology.
Practice location
801 Adlai Stevenson Dr
Springfield, IL 62703-4261
Phone: (877) 506-0002
Street-level locationGet directions
Mailing address
1979 Marcus Ave Ste 206
New Hyde Park, NY 11042-1002
Additional practice locations (2)
- 135 N Pennsylvania St Ste 1610Indianapolis, IN 46204-2448Phone: (877) 506-0002
- 100 Charles Ewing Blvd Ste 160Ewing, NJ 08628-3456Phone: (877) 506-0002
Registry dates
- Enumerated
- 2024-06-20
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.