ADDY ELIZABETH ADKISSON (OD) – Optometrist, NPI 1255181582

ADDY ELIZABETH ADKISSON (OD) is a healthcare provider. based in Chicago, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2385DT (KY). The NPI Number for ADDY ELIZABETH ADKISSON (OD) is 1255181582

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ADDY ELIZABETH ADKISSON (OD)
NPI
1255181582
Phone
(502) 364-0033
Address
PO BOX 736502
Enumeration Date
27 March 2024
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5028950040
Graduation Year
2024 (2 years ago)
PAC ID
3173062403
Group Practice PAC ID
4789584921
Professional Enrollment ID
I20240909002965
Address ID
KY402151181LO1935XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for ADDY ELIZABETH ADKISSON (OD)

  • PO BOX 736502

    CHICAGO, IL 606731408

    Phone: (502) 364-0033

    Type: Mailing

  • 9200 LEESGATE RD STE 100

    LOUISVILLE, KY 402225173

    Phone: (502) 895-0040

    Fax: (502) 895-0040

    Type: Location

  • 1935 Bluegrass Ave Ste 200

    Louisville, KY 402151181

    Phone: (502) 364-0033

    Fax: (502) 365-4050

    Type: Location

  • 2200 E Parrish Ave Ste 201

    Owensboro, KY 423031449

    Phone: (502) 895-0040

    Type: Location

  • 1000 Johnstown Rd Ste 102

    Elizabethtown, KY 427013925

    Phone: (270) 769-0099

    Type: Location

  • 6905B Burlington Pike

    Florence, KY 410421618

    Phone: (859) 282-9999

    Type: Location

  • 73 Quartermaster Ct

    Jeffersonville, IN 471303623

    Phone: (812) 284-0077

    Type: Location

  • 2935 Dolphin Dr

    Elizabethtown, KY 427014111

    Phone: (270) 769-0099

    Type: Location

  • 6400 Westwind Way

    Crestwood, KY 400146773

    Phone: (502) 243-2227

    Type: Location

  • 4010 DuPont Cir Ste 380

    Louisville, KY 402074881

    Phone: (502) 895-0040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alcon Vision LLC ($119).

Total Amount

$180

General + Research + Ownership

Payments

4

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2024-09-09

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
I20240829003287IOptometryINTBD
I20240909002965IOptometryKYTBD

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 60673)

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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: 4789584921View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P T O M E T R YKY
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YKY
O P T O M E T R YKY
O P T O M E T R YKY
O P H T H A L M O L O G YKY
O P H T H A L M O L O G YKY
O P H T H A L M O L O G YKY

Reviews

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Frequently asked questions

What unique ID ties claims to ADDY ELIZABETH ADKISSON (OD)?
NPI 1255181582 is assigned to ADDY ELIZABETH ADKISSON (OD) under the national enumeration system.
Is ADDY ELIZABETH ADKISSON (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ADDY ELIZABETH ADKISSON (OD)?
The page reflects Optometrist for ADDY ELIZABETH ADKISSON (OD). Clinical services aligned with this taxonomy classification.
Where does public data place ADDY ELIZABETH ADKISSON (OD)?
The snapshot lists Chicago, Illinois for ADDY ELIZABETH ADKISSON (OD); download NPPES for the complete set.
How can I contact ADDY ELIZABETH ADKISSON (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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