DR. ANISHA JACOB (O.D) – Optometrist, NPI 1265787998

DR. ANISHA JACOB (O.D) is a healthcare provider. based in Flossmoor, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D. They hold a License No. 046010568 (IL). The NPI Number for DR. ANISHA JACOB (O.D) is 1265787998

Main info

Female
Sole Proprietor
14 Years Of Experience
Name
DR. ANISHA JACOB (O.D)
NPI
1265787998
Phone
(708) 969-3218
Address
18920 SPRINGFIELD AVE
Enumeration Date
18 July 2012
Last Update Date
18 July 2012

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9723173888
Graduation Year
2012 (14 years ago)
PAC ID
6507153020
Group Practice PAC ID
9133402738
Professional Enrollment ID
I20160928000251
Address ID
TX750773407HI113XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. ANISHA JACOB (O.D)

  • 18920 SPRINGFIELD AVE

    FLOSSMOOR, IL 604221072

    Phone: (708) 969-3218

    Type: Mailing

  • 106 EAST BARNETT AVE

    FORSYTH, IL 62535

    Phone: (217) 877-7900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $398.

Total Amount is formed as General ($398) + Research ($0) + Ownership ($0) = $398.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($129).

Total Amount

$398

General + Research + Ownership

Payments

17

Total payment records

General Amount

$398

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2016-09-28

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
I20160928000251IOptometryTXTBD

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
92014Established patient complete exam of visual system1919$0
View full utilization report →

Insurance plans in this area (ZIP 60422)

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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: 9133402738View full group profile
NameSpecialtyState
O P T O M E T R YVA
-GA
O P T O M E T R YTX
O P T O M E T R YNV
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

Does DR. ANISHA JACOB (O.D) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ANISHA JACOB (O.D) uses 1265787998.
Is DR. ANISHA JACOB (O.D) listed as active for patients and plans?
The listing shows DR. ANISHA JACOB (O.D) as active in the NPI system.
What taxonomy line describes DR. ANISHA JACOB (O.D)?
For research purposes, treat DR. ANISHA JACOB (O.D) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANISHA JACOB (O.D)?
DR. ANISHA JACOB (O.D)'s geographic hint is Flossmoor, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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