DR. KIMBERLY V ROBERTSON (OD) – Optometrist, NPI 1053496505

DR. KIMBERLY V ROBERTSON (OD) is a healthcare provider. based in Lake zurich, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046009452 (IL). The NPI Number for DR. KIMBERLY V ROBERTSON (OD) is 1053496505

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY V ROBERTSON (OD)
NPI
1053496505
Phone
(847) 726-2020
Address
950 W MAIN ST
Enumeration Date
25 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8479616800
Graduation Year
2002 (24 years ago)
PAC ID
7012936396
Group Practice PAC ID
8729094164
Professional Enrollment ID
I20051116000133
Address ID
IL601427913HU12545DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Loading map...

Provider Addresses for DR. KIMBERLY V ROBERTSON (OD)

  • 950, West Main Street, Lake Zurich, Ela Township, Lake County, Illinois, 60047, United States

    SUITE 125

    LAKE ZURICH, IL 60047

    Phone: (847) 726-2020

    Fax: (547) 726-2036

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-05-25 • Largest payer in this snapshot: Sight Sciences, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Sight Sciences, Inc.$125
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: 2005-11-16

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
I20051116000133IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60047)

Loading plans...

Provider's Procedures

DR. KIMBERLY V ROBERTSON (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92012Eye and medical examination for diagnosis and treatment, established patient2020
OPTOMETRYIL92083Measurement of field of vision during daylight conditions1312

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: 8729094164View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. KIMBERLY V ROBERTSON (OD) using NPI 1053496505?
NPI 1053496505 belongs to DR. KIMBERLY V ROBERTSON (OD); compare other details if you need extra assurance.
Is there an active status for DR. KIMBERLY V ROBERTSON (OD)?
For scheduling context, DR. KIMBERLY V ROBERTSON (OD) is shown as active in the registry.
What kind of doctor is DR. KIMBERLY V ROBERTSON (OD)?
DR. KIMBERLY V ROBERTSON (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KIMBERLY V ROBERTSON (OD)?
Travel planning: use Lake Zurich, Illinois as the reference point for DR. KIMBERLY V ROBERTSON (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

92, East Main Street, Lake Zurich, Ela Township, Lake County, Illinois, 60047, United States
NPI: 1811967946
534, North Rand Road, Lake Zurich Manor, Lake Zurich, Ela Township, Lake County, Illinois, 60047, United States
NPI: 1972615391
534, North Rand Road, Lake Zurich Manor, Lake Zurich, Ela Township, Lake County, Illinois, 60047, United States
NPI: 1316059728
138 S Main St
NPI: 1396820858
950, West Main Street, Lake Zurich, Ela Township, Lake County, Illinois, 60047, United States
NPI: 1982789434
664 S. RAND RD
NPI: 1992860373
950 W. RT. 22
NPI: 1992854269
21668 W RAVINE DR
NPI: 1457400301
Hawthorn Village Commons, Vernon Hills, Lake County, Illinois, United States
NPI: 1578619391