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Deactivated NPI 1669531455 Deactivated / Inactive NPI Male Practitioner

Dr. Vito A. Racanelli , OD

Optometrist • Johnsburg, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Vito Racanelli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2006
NPI Deactivation Date October 26, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Vito Racanelli, OD was a registered Optometrist practicing in Johnsburg, IL. Throughout an active medical career spanning 15 years, Dr. Racanelli provided care at the practice location at 3920 N JOHNSBURG RD until profile deactivation on 2021-10-26.

Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3920 N Johnsburg Rd

Johnsburg, IL 600502120

Telephone 8153850002
Fax 8153850147
Associated Practice Facility / Clinic
🏢 Marengo Vision Center, P.c. Facility NPI 1477804912

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Johnsburg, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Johnsburg, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
16 16 $121.00 $120.76

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 36-3852563

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1063578854

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 26, 2021

Record deactivated on October 26, 2021

NPI Profile Active June 15, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2009

Registered at 3920 N JOHNSBURG RD, JOHNSBURG, IL 600502120 (Tel: 8153850002)

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Updated Business Mailing Address June 15, 2009

Registered at 3920 N. JOHNSBURG ROAD, JOHNSBURG, IL 600516320 (Tel: 8153850002)

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Provider Name / Credentials Updated June 15, 2009

Recorded as VITO RACANELLI, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2009

Optometrist (License #36-3852563 in IL)

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Initial NPI Registration & Enumeration December 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669531455
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: June 15, 2009
Deactivation Date: October 26, 2021

Mailing Address

3920 N. Johnsburg Road

Johnsburg, IL 600516320

Phone: 8153850002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.