DALE J SWETLISHNOFF (OD) – Optometrist, NPI 1649233057

DALE J SWETLISHNOFF (OD) is a healthcare provider. based in Benld, Illinois. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 046008093 (IL). The NPI Number for DALE J SWETLISHNOFF (OD) is 1649233057

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DALE J SWETLISHNOFF (OD)
NPI
1649233057
Phone
(217) 835-7724
Address
600 S 8TH ST
Enumeration Date
7 April 2006
Last Update Date
24 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WATERLOO - SCHOOL OF OPTOMETRY
Secondary Phone
2175283233
Graduation Year
1985 (41 years ago)
PAC ID
1456350115
Group Practice PAC ID
3678586187
Professional Enrollment ID
I20061207000365
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

Provider Addresses for DALE J SWETLISHNOFF (OD)

  • 600 S 8TH ST

    BENLD, IL 620091446

    Phone: (217) 835-7724

    Fax: (217) 835-7611

    Type: Location

  • 1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States

    SPRINGFIELD, IL 627032403

    Phone: (217) 528-7541

    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: 2006-12-07

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
I20061207000365IOptometryILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9581$0
92250Photography of the retina8686$0
99213Established patient office or other outpatient visit, 20-29 minutes8679$0
92133Imaging of optic nerve6751$0
92083Exam of visual field with extended testing6652$0
View full utilization report →

Insurance plans in this area (ZIP 62009)

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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: 3678586187View full group profile
NameSpecialtyState
O P T O M E T R YIL
-IL
-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
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 federal number belongs to DALE J SWETLISHNOFF (OD)?
The federal identifier for DALE J SWETLISHNOFF (OD) is NPI 1649233057.
Is DALE J SWETLISHNOFF (OD) active in the national directory?
DALE J SWETLISHNOFF (OD)'s public NPI profile is in an active state.
What field does DALE J SWETLISHNOFF (OD) work in?
You can think of DALE J SWETLISHNOFF (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DALE J SWETLISHNOFF (OD)?
The page summarizes Benld, Illinois for DALE J SWETLISHNOFF (OD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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