DR. PAMELA JEAN EILENFELDT (OD) – Optometrist, NPI 1114075645

DR. PAMELA JEAN EILENFELDT (OD) is a healthcare provider. based in Peoria, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046-008618 (IL). The NPI Number for DR. PAMELA JEAN EILENFELDT (OD) is 1114075645

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAMELA JEAN EILENFELDT (OD)
NPI
1114075645
Phone
(309) 693-9540
Address
8309 N KNOXVILLE AVE
Enumeration Date
8 January 2007
Last Update Date
30 June 2014

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
3173421286
Group Practice PAC ID
5991858011
Professional Enrollment ID
I20031229000352
Address ID
IL614552531Ma1730XSTXX400
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. PAMELA JEAN EILENFELDT (OD)

  • 8309, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616152170

    Phone: (309) 693-9540

    Fax: (309) 693-9542

    Type: Mailing

  • 1265, North Henderson Street, Galesburg, Knox County, Illinois, 61401, United States

    GALESBURG, IL 614011510

    Phone: (309) 343-7799

    Fax: (309) 343-7934

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20031229000352IOptometryILTBD
I20090618000661IOptometryIATBD

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
83861Microfluid analysis of tears281140$0
92014Established patient complete exam of visual system173171$0
92134Imaging of retina6151$0
92004New patient complete exam of visual system5151$0
99213Established patient office or other outpatient visit, 20-29 minutes4635$0
View full utilization report →

Insurance plans in this area (ZIP 61615)

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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: 5991858011View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YIL

Reviews

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Frequently asked questions

What federal number belongs to DR. PAMELA JEAN EILENFELDT (OD)?
The federal identifier for DR. PAMELA JEAN EILENFELDT (OD) is NPI 1114075645.
Does this profile mean DR. PAMELA JEAN EILENFELDT (OD) is currently active?
Yes — DR. PAMELA JEAN EILENFELDT (OD) appears active in the national provider directory.
Can you summarize DR. PAMELA JEAN EILENFELDT (OD)'s specialty in plain language?
Clinically, the directory lists DR. PAMELA JEAN EILENFELDT (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. PAMELA JEAN EILENFELDT (OD)?
The snapshot lists Peoria, Illinois for DR. PAMELA JEAN EILENFELDT (OD); download NPPES for the complete set.
Is DR. PAMELA JEAN EILENFELDT (OD) a real provider?
This page reflects official NPPES data for NPI 1114075645. Always confirm identity and privileges with the practice and licensing boards.

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