DR. JOANNA M LUTY (O.D.) – Optometrist, NPI 1386965820

DR. JOANNA M LUTY (O.D.) is a healthcare provider. based in Palos heights, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046010367 (IL). The NPI Number for DR. JOANNA M LUTY (O.D.) is 1386965820

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOANNA M LUTY (O.D.)
NPI
1386965820
Phone
(708) 550-2020
Address
12131 S HARLEM AVE
Enumeration Date
18 June 2010
Last Update Date
24 March 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7085502020
Graduation Year
2010 (16 years ago)
PAC ID
2567659394
Group Practice PAC ID
8123450970
Professional Enrollment ID
I20101206001273
Address ID
IL604631492PA12131AVEX400

Contacts

Main Contact
premierfamilyvisioncare@gmail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

1,715 OPTOMETRY in IL

Provider Addresses for DR. JOANNA M LUTY (O.D.)

  • 12131 S HARLEM AVE

    PALOS HEIGHTS, IL 604631492

    Phone: (708) 550-2020

    Fax: (708) 505-8583

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-12-06

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
I20101206001273IOptometryILTBD

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
92012Established patient problem focused exam of visual system7850$0
99214Established patient office or other outpatient visit, 30-39 minutes7272$0
99204New patient office or other outpatient visit, 45-59 minutes4444$0
92250Photography of the retina4039$0
92134Imaging of retina2322$0
View full utilization report →

Insurance plans in this area (ZIP 60463)

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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: 8123450970View full group profile
NameSpecialtyState
O P T O M E T R YIL

Reviews

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Frequently asked questions

What federal number belongs to DR. JOANNA M LUTY (O.D.)?
The federal identifier for DR. JOANNA M LUTY (O.D.) is NPI 1386965820.
Is DR. JOANNA M LUTY (O.D.) active in the national directory?
DR. JOANNA M LUTY (O.D.)'s public NPI profile is in an active state.
What kind of provider is DR. JOANNA M LUTY (O.D.)?
The page reflects Optometrist for DR. JOANNA M LUTY (O.D.). Clinical services aligned with this taxonomy classification.
Where is DR. JOANNA M LUTY (O.D.)'s primary listing?
We display Palos Heights, Illinois because that is what the record indicates for DR. JOANNA M LUTY (O.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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