DR. JILL MARIE HAVEN (O.D.) – Optometrist, NPI 1265433924

DR. JILL MARIE HAVEN (O.D.) is a healthcare provider. based in Alton, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 7500TG (TX). The NPI Number for DR. JILL MARIE HAVEN (O.D.) is 1265433924

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JILL MARIE HAVEN (O.D.)
NPI
1265433924
Phone
(618) 462-9818
Address
111 E 4TH ST STE 440
Enumeration Date
3 August 2005
Last Update Date
28 February 2022

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
2812659090
Graduation Year
2002 (24 years ago)
PAC ID
9234186966
Group Practice PAC ID
4486985678
Professional Enrollment ID
I20120620000728
Address ID
TX774785131SU1437X6XXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. JILL MARIE HAVEN (O.D.)

  • 111 E 4TH ST STE 440

    ALTON, IL 620026241

    Phone: (618) 462-9818

    Type: Mailing

  • 5353 W HIGHWAY 290 STE 102

    AUSTIN, TX 787350046

    Phone: (512) 899-2020

    Type: Location

  • 1100, Silver Hill Drive, Austin, Travis County, Texas, 78746, United States

    AUSTIN, TX 787467422

    Phone: (512) 426-1517

    Type: Location

  • 290, Wild Rose Drive, Canyon Crossing, Austin, Hays County, Texas, United States

    STE 102

    AUSTIN, TX 787350046

    Phone: (512) 899-2020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $772.

Total Amount is formed as General ($772) + Research ($0) + Ownership ($0) = $772.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($243).

Total Amount

$772

General + Research + Ownership

Payments

16

Total payment records

General Amount

$772

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2012-06-20

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
I20120620000728IOptometryTXTBD

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 retina1716$0
View full utilization report →

Insurance plans in this area (ZIP 62002)

Loading plans...

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: 4486985678View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference DR. JILL MARIE HAVEN (O.D.)?
For DR. JILL MARIE HAVEN (O.D.), use NPI 1265433924 as the unique 10-digit identifier.
Is DR. JILL MARIE HAVEN (O.D.) still an active registrant?
DR. JILL MARIE HAVEN (O.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. JILL MARIE HAVEN (O.D.)'s focus?
For DR. JILL MARIE HAVEN (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. JILL MARIE HAVEN (O.D.) located near Alton?
DR. JILL MARIE HAVEN (O.D.) currently maps to Alton, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

ABBA EYE CARE PC

Optometrist
111 E 4TH ST STE 440
NPI: 1952301129

Crown Optical

Optometrist
211, East Broadway, Alton, Madison County, Illinois, 62002, United States
NPI: 1295737294
264 HIGHWAY 641 N
NPI: 1982696498
Naval Medical Center San Diego, 34800, Bob Wilson Drive, Golden Hill, San Diego, San Diego County, California, 92101, United States
NPI: 1669460895
211, East Broadway, Alton, Madison County, Illinois, 62002, United States
NPI: 1912983107
211 E Broadway
NPI: 1578533410
211, East Broadway, Alton, Madison County, Illinois, 62002, United States
NPI: 1861469918
211, East Broadway, Alton, Madison County, Illinois, 62002, United States
NPI: 1487621678
211, East Broadway, Alton, Madison County, Illinois, 62002, United States
NPI: 1417924648