DR. DENNIS E DETTMANN (O.D.) – Optometrist, NPI 1609877455

DR. DENNIS E DETTMANN (O.D.) is a healthcare provider. based in Plainfield, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046007054 (IL). The NPI Number for DR. DENNIS E DETTMANN (O.D.) is 1609877455

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. DENNIS E DETTMANN (O.D.)
NPI
1609877455
Phone
(630) 257-6493
Address
21219 SILKTREE CIR
Enumeration Date
2 August 2005
Last Update Date
13 December 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7087492020
Graduation Year
1978 (48 years ago)
PAC ID
8224017587
Group Practice PAC ID
8022921758
Professional Enrollment ID
I20040812000233
Address ID
IL604022317BE6233XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. DENNIS E DETTMANN (O.D.)

  • 21219 SILKTREE CIR

    PLAINFIELD, IL 605449359

    Phone: (630) 257-6493

    Fax: (630) 243-6293

    Type: Mailing

  • 5039, Main Street, Lisle, DuPage County, Illinois, 60532, United States

    LISLE, IL 605322246

    Phone: (630) 257-6493

    Fax: (630) 243-6293

    Type: Mailing

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: 2004-08-12

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
I20040812000233IOptometryILTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes509276$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes404187$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5043$0
View full utilization report →

Insurance plans in this area (ZIP 60544)

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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: 8022921758View full group profile
NameSpecialtyState
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
-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

Is there an official ID for DR. DENNIS E DETTMANN (O.D.) in U.S. healthcare records?
The official identifier for DR. DENNIS E DETTMANN (O.D.) is NPI 1609877455.
Is DR. DENNIS E DETTMANN (O.D.) still an active registrant?
DR. DENNIS E DETTMANN (O.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. DENNIS E DETTMANN (O.D.)'s focus?
For DR. DENNIS E DETTMANN (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DENNIS E DETTMANN (O.D.)?
Directory geography for DR. DENNIS E DETTMANN (O.D.) centers on Plainfield, Illinois.
Can I trust this NPI listing for DR. DENNIS E DETTMANN (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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