FAYE THERESE GAMBOA (O.D.) – Optometrist, NPI 1275948044

FAYE THERESE GAMBOA (O.D.) is a healthcare provider. based in Northfield, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046010799 (IL). The NPI Number for FAYE THERESE GAMBOA (O.D.) is 1275948044

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
FAYE THERESE GAMBOA (O.D.)
NPI
1275948044
Phone
(847) 787-1187
Address
1745 ORCHARD LN
Enumeration Date
30 June 2014
Last Update Date
1 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477871187
Graduation Year
2014 (12 years ago)
PAC ID
5294051066
Professional Enrollment ID
I20150313001792
Address ID
IL600933432NO1745XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for FAYE THERESE GAMBOA (O.D.)

  • 1745 ORCHARD LN

    NORTHFIELD, IL 600933432

    Phone: (847) 787-1187

    Fax: (847) 789-7181

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $352.

Total Amount is formed as General ($352) + Research ($0) + Ownership ($0) = $352.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($120).

Total Amount

$352

General + Research + Ownership

Payments

8

Total payment records

General Amount

$352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2015-03-13

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
I20150313001792IOptometryILTBD

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 system1615$0
92004New patient complete exam of visual system1414$0
View full utilization report →

Insurance plans in this area (ZIP 60093)

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Reviews

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Frequently asked questions

What is the standard ID for FAYE THERESE GAMBOA (O.D.) in the U.S.?
In the U.S., FAYE THERESE GAMBOA (O.D.) is identified by NPI 1275948044.
Is FAYE THERESE GAMBOA (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists FAYE THERESE GAMBOA (O.D.) as active.
How should patients interpret FAYE THERESE GAMBOA (O.D.)'s specialty?
The extract shows Optometrist for FAYE THERESE GAMBOA (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to FAYE THERESE GAMBOA (O.D.)?
FAYE THERESE GAMBOA (O.D.) is associated with Northfield, Illinois in the same public data insurers reference.
Why is information missing for FAYE THERESE GAMBOA (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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