SMRITI JAIN (OD) – Optometrist, NPI 1063082519

SMRITI JAIN (OD) is a healthcare provider. based in Orland park, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials OD. They hold a License No. 046.011524 (IL). The NPI Number for SMRITI JAIN (OD) is 1063082519

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SMRITI JAIN (OD)
NPI
1063082519
Phone
(708) 314-5350
Address
14320 OAKWOOD CT
Enumeration Date
28 June 2021
Last Update Date
28 June 2021

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7083640020
Graduation Year
2021 (5 years ago)
PAC ID
4688077704
Group Practice PAC ID
7113829532
Professional Enrollment ID
I20210728000036
Address ID
IL604675744OR9731XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

Provider Addresses for SMRITI JAIN (OD)

  • 14320 OAKWOOD CT

    ORLAND PARK, IL 604620014

    Phone: (708) 314-5350

    Fax: (708) 288-1052

    Type: Mailing

  • 11600 S KEDZIE AVE

    MERRIONETTE PARK, IL 608036307

    Phone: (708) 388-4400

    Fax: (708) 798-6790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Glaukos Corporation ($118).

Total Amount

$118

General + Research + Ownership

Payments

1

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Glaukos Corporation$118
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: 2021-07-28

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
I20210728000036IOphthalmologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9862$0
92014Established patient complete exam of visual system8784$0
92012Established patient problem focused exam of visual system6552$0
92083Exam of visual field with extended testing6249$0
92133Imaging of optic nerve5149$0
View full utilization report →

Insurance plans in this area (ZIP 60462)

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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: 7113829532View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YIL
-IL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

Can I use this page to confirm SMRITI JAIN (OD)'s NPI?
Yes. SMRITI JAIN (OD) is listed with NPI 1063082519 in the public NPI dataset.
Can I rely on SMRITI JAIN (OD) being an active provider?
As of the registry snapshot, SMRITI JAIN (OD) is marked active.
What is SMRITI JAIN (OD)'s specialty?
The listing groups SMRITI JAIN (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is SMRITI JAIN (OD) based?
SMRITI JAIN (OD) is tied to Orland Park, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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