DR. QUENTIN GIN PARK (OD) – Optometrist, NPI 1003830340
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
Provider Addresses for DR. QUENTIN GIN PARK (OD)
1250 W LAKE ST STE 19C
ADDISON, IL 601015744
Phone: (630) 543-0607
Type: Mailing
South Lincolnway Street, North Aurora, Aurora Township, Kane County, Illinois, 60542, United States
NORTH AURORA, IL 605421608
Phone: (630) 844-2500
Fax: (630) 844-2599
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,665.
Total Amount is formed as General ($1,665) + Research ($0) + Ownership ($0) = $1,665.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($439).
Total Amount
$1,665
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,665
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Oyster Point Pharma, Inc. | $439 |
| Johnson & Johnson Vision Care, Inc. | $383 |
| Alcon Vision LLC | $316 |
| CooperVision Inc. | $165 |
| Bausch & Lomb Americas Inc. | $75 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041101000050 | I | Optometry | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL |
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