ANDREW JOSEPH MILDER (O.D.) – Optometrist, NPI 1194509554

ANDREW JOSEPH MILDER (O.D.) is a healthcare provider. based in Peoria, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046.011782 (IL). The NPI Number for ANDREW JOSEPH MILDER (O.D.) is 1194509554

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW JOSEPH MILDER (O.D.)
NPI
1194509554
Phone
(309) 670-2020
Address
4727 N SHERIDAN RD
Enumeration Date
24 August 2023
Last Update Date
24 August 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
3096702020
Graduation Year
2023 (3 years ago)
PAC ID
1456707017
Group Practice PAC ID
0042282691
Professional Enrollment ID
I20231102001555
Address ID
IL616145925PE4727XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for ANDREW JOSEPH MILDER (O.D.)

  • 4727 N SHERIDAN RD

    PEORIA, IL 616145925

    Phone: (309) 670-2020

    Type: Mailing

  • 1009 N Cummings Ln

    Washington, IL 615719646

    Phone: (309) 444-8811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $1,793.

Total Amount is formed as General ($1,793) + Research ($0) + Ownership ($0) = $1,793.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($1,185).

Total Amount

$1,793

General + Research + Ownership

Payments

25

Total payment records

General Amount

$1,793

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

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: 2025-10-03

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
I20231102001555IOptometryILTBD
I20251003001618IOptometryIATBD

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 61614)

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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: 0042282691View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREW JOSEPH MILDER (O.D.)'s NPI?
Yes. ANDREW JOSEPH MILDER (O.D.) is listed with NPI 1194509554 in the public NPI dataset.
Can I rely on ANDREW JOSEPH MILDER (O.D.) being an active provider?
As of the registry snapshot, ANDREW JOSEPH MILDER (O.D.) is marked active.
What is ANDREW JOSEPH MILDER (O.D.) best known for clinically?
Directory data describes ANDREW JOSEPH MILDER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect ANDREW JOSEPH MILDER (O.D.) on a map?
Expect Peoria, Illinois as a primary anchor for ANDREW JOSEPH MILDER (O.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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