AMOOLYA RAO (O.D.) – Optometrist, NPI 1083054217

AMOOLYA RAO (O.D.) is a healthcare provider. based in Westmont, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2928 (CT). The NPI Number for AMOOLYA RAO (O.D.) is 1083054217

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
AMOOLYA RAO (O.D.)
NPI
1083054217
Phone
(630) 788-0823
Address
1021 WEXFORD DR
Enumeration Date
2 July 2013
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2037483937
Graduation Year
2013 (13 years ago)
PAC ID
0042597379
Group Practice PAC ID
4082662374
Professional Enrollment ID
I20170515001329
Address ID
CT068115131DA18XXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,977 OPTOMETRY in NY

Provider Addresses for AMOOLYA RAO (O.D.)

  • 1021 WEXFORD DR

    WESTMONT, IL 605592643

    Phone: (630) 788-0823

    Type: Mailing

  • 2094 ALBANY POST RD

    MONTROSE, NY 105481454

    Phone: (914) 737-4400

    Type: Location

  • 28 BELLTOWN RD APT 7

    STAMFORD, CT 069053725

    Phone: (630) 788-0823

    Type: Mailing

  • COASTAL EYE

    600 W PUTNAM AVE, LOWER LEVEL

    GREENWICH, CT 06830

    Phone: (203) 900-4011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,387.

Total Amount is formed as General ($1,387) + Research ($0) + Ownership ($0) = $1,387.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($291).

Total Amount

$1,387

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2017-05-15

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
I20170515001329IOptometryCTTBD

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
92250Photography of the retina7974$0
99212Established patient office or other outpatient visit, 10-19 minutes7949$0
92014Established patient complete exam of visual system4641$0
92004New patient complete exam of visual system4646$0
92134Imaging of retina3735$0
View full utilization report →

Insurance plans in this area (ZIP 60559)

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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: 4082662374View full group profile
NameSpecialtyState
O P T O M E T R YCT
O P T O M E T R YCT

Reviews

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Frequently asked questions

Can I use this page to confirm AMOOLYA RAO (O.D.)'s NPI?
Yes. AMOOLYA RAO (O.D.) is listed with NPI 1083054217 in the public NPI dataset.
Does the file indicate AMOOLYA RAO (O.D.) is practicing under active NPI?
Directory data currently reports AMOOLYA RAO (O.D.) as active.
What is AMOOLYA RAO (O.D.)'s primary classification?
Optometrist is the headline specialty for AMOOLYA RAO (O.D.) here. Clinical services aligned with this taxonomy classification.
Where is AMOOLYA RAO (O.D.) based?
AMOOLYA RAO (O.D.) is tied to Westmont, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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