DR. BRIAN PAUL BERRY (O.D.) – Optometrist, NPI 1073677886

DR. BRIAN PAUL BERRY (O.D.) is a healthcare provider. based in Bolingbrook, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-009359 (IL). The NPI Number for DR. BRIAN PAUL BERRY (O.D.) is 1073677886

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN PAUL BERRY (O.D.)
NPI
1073677886
Phone
(630) 679-0900
Address
1243 W BOUGHTON RD
Enumeration Date
19 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
7911057732
Professional Enrollment ID
I20090616000575
Address ID
IL600307918Gr1476XDRXX300
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

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Provider Addresses for DR. BRIAN PAUL BERRY (O.D.)

  • 1243, West Boughton Road, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604401509

    Phone: (630) 679-0900

    Fax: (630) 679-0213

    Type: Location

  • 8628, Koehler Drive, Town Pointe, Tinley Park, Orland Township, Cook County, Illinois, 60487, United States

    TINLEY PARK, IL 604778629

    Phone: (708) 633-4621

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $514.

Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Alcon Vision LLC ($440).

Total Amount

$514

General + Research + Ownership

Payments

15

Total payment records

General Amount

$514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2009-06-16

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
I20090616000575IOptometryILTBD

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 minutes3020$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Reviews

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Frequently asked questions

What is the registry number for DR. BRIAN PAUL BERRY (O.D.)?
The registry entry for DR. BRIAN PAUL BERRY (O.D.) shows NPI 1073677886.
Is DR. BRIAN PAUL BERRY (O.D.)'s NPI status active today?
Active status means DR. BRIAN PAUL BERRY (O.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. BRIAN PAUL BERRY (O.D.)?
NPPES ties DR. BRIAN PAUL BERRY (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. BRIAN PAUL BERRY (O.D.) in Bolingbrook, Illinois?
For routing, start with Bolingbrook, Illinois for DR. BRIAN PAUL BERRY (O.D.), then verify phone and hours locally.
Who maintains DR. BRIAN PAUL BERRY (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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