CREIGHTON PROSSER (OD) – Optometrist, NPI 1467281709

CREIGHTON PROSSER (OD) is a healthcare provider. based in Savoy, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046011883 (IL). The NPI Number for CREIGHTON PROSSER (OD) is 1467281709

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
CREIGHTON PROSSER (OD)
NPI
1467281709
Phone
(217) 398-2020
Address
8 DUNLAP CT
Enumeration Date
26 July 2024
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
2178322111
Graduation Year
2024 (2 years ago)
PAC ID
1153862438
Group Practice PAC ID
8628059995
Professional Enrollment ID
I20240926002226
Address ID
IL619561513VI10XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for CREIGHTON PROSSER (OD)

  • 8 DUNLAP CT

    SAVOY, IL 618749501

    Phone: (217) 398-2020

    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 2 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($139).

Total Amount

$139

General + Research + Ownership

Payments

2

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2024-09-26

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
I20240926002226IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61874)

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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: 8628059995View full group profile
NameSpecialtyState
-IL
O P T O M E T R YIL
O P H T H A L M O L O G YND
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I use this page to confirm CREIGHTON PROSSER (OD)'s NPI?
Yes. CREIGHTON PROSSER (OD) is listed with NPI 1467281709 in the public NPI dataset.
Does the file indicate CREIGHTON PROSSER (OD) is practicing under active NPI?
Directory data currently reports CREIGHTON PROSSER (OD) as active.
What healthcare role does CREIGHTON PROSSER (OD) hold?
Scheduling teams often label CREIGHTON PROSSER (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Does CREIGHTON PROSSER (OD) list a practice location?
Patients near Savoy, Illinois may find CREIGHTON PROSSER (OD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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