Unknown Individual – Ophthalmology Physician, NPI 1568451086
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPHTHALMOLOGY in IL
Loading map...
Provider Addresses for Unknown Individual
1137, Park Avenue, River Forest, Cook County, Illinois, 60305, United States
RIVER FOREST, IL 603051309
Phone: (708) 452-7200
Type: Mailing
7740 W NORTH AVE
ELMWOOD PARK, IL 607074116
Phone: (708) 452-2000
Fax: (708) 452-5777
Type: Mailing
North Avenue, Elmwood, Geneva, Ashtabula County, Ohio, 44041, United States
ELMWOOD PARK, IL 60707
Phone: (708) 452-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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.
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 |
|---|---|---|---|---|
| I20080410000316 | I | Ophthalmology | 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 | 634 | 581 | $0 |
| 92134 | Imaging of retina | 291 | 265 | $0 |
| 92250 | Photography of the retina | 213 | 208 | $0 |
| 92083 | Exam of visual field with extended testing | 115 | 114 | $0 |
| 92133 | Imaging of optic nerve | 87 | 84 | $0 |
Insurance plans in this area (ZIP 60305)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | IL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 64 | 61 |
| OPHTHALMOLOGY | IL | 92083 | Measurement of field of vision during daylight conditions | 116 | 111 |
| OPHTHALMOLOGY | IL | 92134 | Diagnostic imaging of retina | 270 | 239 |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.