DR. THERESE MARIE PORRETTA (O.D.) – Optometrist, NPI 1720182165

DR. THERESE MARIE PORRETTA (O.D.) is a healthcare provider. based in Algonquin, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. The NPI Number for DR. THERESE MARIE PORRETTA (O.D.) is 1720182165

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. THERESE MARIE PORRETTA (O.D.)
NPI
1720182165
Phone
(847) 458-5796
Address
1410 S RANDALL RD
Enumeration Date
7 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8478919096
Graduation Year
2001 (25 years ago)
PAC ID
3173664422
Group Practice PAC ID
7012073851
Professional Enrollment ID
I20100108000103
Address ID
IL601933509SC1839XRDXX500
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

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Provider Addresses for DR. THERESE MARIE PORRETTA (O.D.)

  • Walmart Supercenter, 1410, South Randall Road, Algonquin, McHenry County, Illinois, 60102, United States

    ALGONQUIN, IL 601025919

    Phone: (847) 458-5796

    Type: Location

  • 620 ECHO TRL

    MARENGO, IL 601528058

    Phone: (708) 261-4902

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $323.

Total Amount is formed as General ($323) + Research ($0) + Ownership ($0) = $323.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: CooperVision Inc. ($104).

Total Amount

$323

General + Research + Ownership

Payments

13

Total payment records

General Amount

$323

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2010-01-08

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
I20100108000103IOptometryILTBD

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 60102)

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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: 7012073851View 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

What NPI should I save for DR. THERESE MARIE PORRETTA (O.D.)?
Save NPI 1720182165 if you need a stable reference for DR. THERESE MARIE PORRETTA (O.D.).
Is DR. THERESE MARIE PORRETTA (O.D.) currently active in the NPI registry?
CMS-published data lists DR. THERESE MARIE PORRETTA (O.D.) as an active registrant.
What field does DR. THERESE MARIE PORRETTA (O.D.) work in?
You can think of DR. THERESE MARIE PORRETTA (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. THERESE MARIE PORRETTA (O.D.)?
We surface Algonquin, Illinois for DR. THERESE MARIE PORRETTA (O.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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