Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Hennig, OD

Individual provider Optometrist · NPI 1215466008

Derek Hennig, OD is an Optometry in Charleston, Illinois. Graduated from Southern College of Optometry in 2017, 9 years ago. Practices with Lifetime Eye Care PC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Southern College of Optometry
Licensed in
IL
In the registry since
2017
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1700 18th St
Charleston, IL 61920-3607
Phone: (217) 345-6600
Fax: (217) 345-6622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046011094 (IL)

Record details

NPI number1215466008
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 6, 2017
Last updated in NPPESJune 6, 2017
Mailing address1700 18th St, Charleston, IL 61920-3607

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Lifetime Eye Care Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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