DR. KATHRYN LYNN WILSON (OD) – Optometrist, NPI 1023124518

DR. KATHRYN LYNN WILSON (OD) is a healthcare provider. based in Antioch, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. The NPI Number for DR. KATHRYN LYNN WILSON (OD) is 1023124518

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHRYN LYNN WILSON (OD)
NPI
1023124518
Phone
(847) 395-0113
Address
10 HENNINGS CT
Enumeration Date
21 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8159005802
Graduation Year
1988 (38 years ago)
PAC ID
9739588997
Group Practice PAC ID
1456684471
Professional Enrollment ID
I20210520002613
Address ID
IL600512215LA28952120X500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. KATHRYN LYNN WILSON (OD)

  • 10, Hennings Court, Antioch, Lake County, Illinois, 60002, United States

    ANTIOCH, IL 600021420

    Phone: (847) 395-0113

    Fax: (847) 395-4103

    Type: Mailing

  • Richmond Road, Richmond, McHenry County, Illinois, 60072, United States

    MCHENRY, IL 600501418

    Phone: (815) 385-9224

    Fax: (815) 385-9285

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($105).

Total Amount

$121

General + Research + Ownership

Payments

3

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-05-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210520002613IOptometryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6161$0
99212Established patient office or other outpatient visit, 10-19 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 60002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456684471View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KATHRYN LYNN WILSON (OD)?
DR. KATHRYN LYNN WILSON (OD) — NPI 1023124518 — is the standard way to identify this listing.
Is DR. KATHRYN LYNN WILSON (OD) listed as active for patients and plans?
The listing shows DR. KATHRYN LYNN WILSON (OD) as active in the NPI system.
What taxonomy line describes DR. KATHRYN LYNN WILSON (OD)?
For research purposes, treat DR. KATHRYN LYNN WILSON (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KATHRYN LYNN WILSON (OD)?
DR. KATHRYN LYNN WILSON (OD)'s geographic hint is Antioch, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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