ADAM C. BLACK (OD) – Optometrist, NPI 1295814903
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 ADAM C. BLACK (OD)
16660, South Windsor Lane, Victoria Crossing, Lockport, Will County, Illinois, 60441, United States
LOCKPORT, IL 604416286
Phone: (510) 847-6959
Type: Location
232 S WASHINGTON ST
STE 3
NAPERVILLE, IL 605405370
Phone: (630) 369-3937
Fax: (630) 369-3933
Type: Location
232, South Washington Street, Downtown Naperville, Naperville, DuPage County, Illinois, 60540, United States
STE 3
NAPERVILLE, IL 605405370
Phone: (630) 369-3937
Fax: (630) 369-3933
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $214.
Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.
Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($157).
Total Amount
$214
General + Research + Ownership
Payments
10
Total payment records
General Amount
$214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $157 |
| CooperVision Inc. | $33 |
| Johnson & Johnson Vision Care, Inc. | $23 |
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: 2010-11-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101118001323 | I | Optometry | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 33 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 15 | $0 |
Insurance plans in this area (ZIP 60441)
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