COURTNEY BANDEMER (OD) – Optometrist, NPI 1235789884
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
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Provider Addresses for COURTNEY BANDEMER (OD)
3708, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606136888
Phone: (773) 290-2522
Type: Location
721 W BRIAR PL APT 1F
CHICAGO, IL 606574978
Phone:
Type: Mailing
10436 SOUTHWEST HWY # 1
CHICAGO RIDGE, IL 604152282
Phone: (708) 873-0088
Fax: (708) 423-4216
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $720.
Total Amount is formed as General ($720) + Research ($0) + Ownership ($0) = $720.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Glaukos Corporation ($179).
Total Amount
$720
General + Research + Ownership
Payments
13
Total payment records
General Amount
$720
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $179 |
| Amgen Inc. | $130 |
| Tarsus Pharmaceuticals, Inc. | $125 |
| Sight Sciences, Inc. | $107 |
| Harrow Eye, LLC | $52 |
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: 2026-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200331000668 | I | Optometry | IL | TBD |
| I20250208000050 | I | Optometry | IN | TBD |
| I20260105001150 | I | Optometry | MI | TBD |
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.
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 60613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IN | |
| - | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | LA | |
| Ophthalmology, Plastic And Reconstructive Surgery | IL | |
| O P T O M E T R Y | VA | |
| O P H T H A L M O L O G Y | IL |
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