JAMES CARROLL (OD) – Optometrist, NPI 1649018391

JAMES CARROLL (OD) is a healthcare provider. based in Chicago, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046011892 (IL). The NPI Number for JAMES CARROLL (OD) is 1649018391

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JAMES CARROLL (OD)
NPI
1649018391
Phone
(773) 866-2020
Address
4459 N Kedzie Ave
Enumeration Date
17 July 2024
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7738662020
Graduation Year
2024 (2 years ago)
PAC ID
7012443914
Group Practice PAC ID
5799743670
Professional Enrollment ID
I20241214000219
Address ID
IL606254785CH4459XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for JAMES CARROLL (OD)

  • 4459 N Kedzie Ave

    Chicago, IL 606254785

    Phone: (773) 866-2020

    Type: Location

  • 1405 WALNUT AVE

    MENDOTA, IL 613429005

    Phone: (815) 910-5570

    Type: Mailing

  • 6201 W 95TH ST

    OAK LAWN, IL 604532701

    Phone: (708) 636-9393

    Fax: (708) 636-2022

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 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: 2024-12-16 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($52).

Total Amount

$132

General + Research + Ownership

Payments

5

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

2024-12-16

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: 2024-12-14

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
I20241214000219IOptometryILTBD

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 60625)

Loading plans...

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: 5799743670View 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 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 H T H A L M O L O G YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL

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.

Frequently asked questions

What is JAMES CARROLL (OD)'s NPI number?
JAMES CARROLL (OD)'s NPI is 1649018391 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JAMES CARROLL (OD)?
For scheduling context, JAMES CARROLL (OD) is shown as active in the registry.
What area of care is associated with JAMES CARROLL (OD)?
JAMES CARROLL (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Illinois is JAMES CARROLL (OD) registered?
Use Chicago, Illinois as the headline location for JAMES CARROLL (OD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

PO BOX 207170
NPI: 1619974722
A-Reliable Glass & Door Corp., 4128, West Belmont Avenue, Hermosa, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States
NPI: 1932106036
A-Reliable Glass & Door Corp., 4128, West Belmont Avenue, Hermosa, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States
NPI: 1457358558
A-Reliable Glass & Door Corp., 4128, West Belmont Avenue, Hermosa, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States
NPI: 1528065612
A-Reliable Glass & Door Corp., 4128, West Belmont Avenue, Hermosa, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States
NPI: 1194722819
A-Reliable Glass & Door Corp., 4128, West Belmont Avenue, Hermosa, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States
NPI: 1124025853
1705 N DIXIE HWY
NPI: 1437157112
1926-1928, West Irving Park Road, Cuyler, North Center, Roscoe Village, Chicago, Lake View Township, Cook County, Illinois, 60618-9997, United States
NPI: 1639177694
Subway, 3125, South Ashland Avenue, Mount Pleasant, McKinley Park, Chicago, Cook County, Illinois, 60608, United States
NPI: 1023016870