Emmanuel Stevenson, OD
NPI 1215714043ActiveIndividual· Optometrist· Belleville, IL
Optometrist (OD) in Belleville, Illinois, trained at International American University at Puerto Rico - School of Optometry (class of 2025). Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1215714043 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | Yes |
| NPI issued | Sep 14, 2023 |
| Last updated in NPPES | Aug 19, 2026 |
| Certified by provider | Aug 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046.012080 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (IL) |
|---|
Education and affiliations
| Medical school | International American University at Puerto Rico - School of Optometry |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Optometry |
Medical group
- Clarkson Optometry Illinois, PCColumbia, IL · 16 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist providers in Belleville
- 1912410390
- 1295318640
- 1124214051
- 1205025095
- 1215335385
- 1558555466
- 1932207073
- 1811088404
- 1124681929
- 1780772053
- 1750076022
- 1962927764