DR. LISANNE CLOSE (O.D.) – Optometrist, NPI 1548559446

DR. LISANNE CLOSE (O.D.) is a healthcare provider. based in Kenilworth, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046008884 (IL). The NPI Number for DR. LISANNE CLOSE (O.D.) is 1548559446

Main info

Female
31 Years Of Experience
Name
DR. LISANNE CLOSE (O.D.)
NPI
1548559446
Phone
(847) 920-5135
Address
521 Park Drive
Enumeration Date
31 March 2011
Last Update Date
20 May 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8475403051
Graduation Year
1995 (31 years ago)
PAC ID
6406154731
Group Practice PAC ID
9931259330
Professional Enrollment ID
I20160419002624
Address ID
IL600473409LA680XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. LISANNE CLOSE (O.D.)

  • 521 Park Drive

    #1B

    Kenilworth, IL 60043

    Phone: (847) 920-5135

    Fax: (847) 920-5137

    Type: Location

  • 521 PARK DRIVE

    #1B

    KENILWORTH, IL 60043

    Phone: (847) 920-5135

    Fax: (847) 920-5137

    Type: Mailing

  • 1212 N WELLS ST

    CHICAGO, IL 606105693

    Phone: (312) 664-2020

    Type: Location

  • 875 N MILWAUKEE AVE UNIT 300

    VERNON HILLS, IL 600613167

    Phone: (847) 325-4440

    Fax: (847) 325-4443

    Type: Location

  • 1212 N Wells St

    Chicago, IL 606105693

    Phone: (312) 664-2020

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

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 $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($118).

Total Amount

$132

General + Research + Ownership

Payments

2

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

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: 2016-04-19

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
I20160419002624IOptometryILTBD

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 60043)

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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: 9931259330View full group profile
NameSpecialtyState
-IL
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

What is DR. LISANNE CLOSE (O.D.)'s NPI number?
DR. LISANNE CLOSE (O.D.)'s NPI is 1548559446 — the number used across U.S. healthcare to identify this provider.
Is DR. LISANNE CLOSE (O.D.) still an active registrant?
DR. LISANNE CLOSE (O.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. LISANNE CLOSE (O.D.)?
DR. LISANNE CLOSE (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. LISANNE CLOSE (O.D.) located near Kenilworth?
DR. LISANNE CLOSE (O.D.) currently maps to Kenilworth, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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Optometrist
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