DR. JENNIFER ANN PAWLAK (O.D.) – Optometrist, NPI 1588799704

DR. JENNIFER ANN PAWLAK (O.D.) is a healthcare provider. based in Huntley, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. The NPI Number for DR. JENNIFER ANN PAWLAK (O.D.) is 1588799704

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER ANN PAWLAK (O.D.)
NPI
1588799704
Phone
(847) 515-7882
Address
10905 SAWGRASS LN
Enumeration Date
21 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8476580120
Graduation Year
1997 (29 years ago)
PAC ID
4880854710
Group Practice PAC ID
4183807761
Professional Enrollment ID
I20120329000519
Address ID
IL601025614AL245XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. JENNIFER ANN PAWLAK (O.D.)

  • 10905 SAWGRASS LN

    HUNTLEY, IL 601424048

    Phone: (847) 515-7882

    Type: Mailing

  • 245 STONEGATE RD

    ALGONQUIN, IL 601025614

    Phone: (847) 658-0120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Alcon Vision LLC ($92).

Total Amount

$143

General + Research + Ownership

Payments

5

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

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: 2012-03-29

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
I20120329000519IOptometryILTBD

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
92014Established patient complete exam of visual system5050$0
92134Imaging of retina2019$0
99213Established patient office or other outpatient visit, 20-29 minutes1712$0
92004New patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 60142)

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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: 4183807761View full group profile
NameSpecialtyState
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

How is DR. JENNIFER ANN PAWLAK (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JENNIFER ANN PAWLAK (O.D.) with NPI 1588799704.
Is DR. JENNIFER ANN PAWLAK (O.D.) still practicing?
DR. JENNIFER ANN PAWLAK (O.D.) is currently listed as active in the public NPI registry.
What is DR. JENNIFER ANN PAWLAK (O.D.)'s specialty?
The listing groups DR. JENNIFER ANN PAWLAK (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JENNIFER ANN PAWLAK (O.D.)?
DR. JENNIFER ANN PAWLAK (O.D.)'s geographic hint is Huntley, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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