DR. JENCY MARIAN ELAKKATT (O.D.) – Optometrist, NPI 1730378647
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
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Provider Addresses for DR. JENCY MARIAN ELAKKATT (O.D.)
641, St John's Place, Addison, DuPage County, Illinois, 60101, United States
ADDISON, IL 601013266
Phone: (630) 628-6816
Type: Mailing
Joliet Road, Hodgkins, Lyons Township, Cook County, Illinois, 60525, United States
SAMS CLUB OPTICAL
HODGKINS, IL 60525
Phone: (708) 387-0024
Fax: (708) 387-0039
Type: Location
926 W STONEHEDGE DR
ADDISON, IL 601013159
Phone: (312) 318-4626
Type: Mailing
1588 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL 600043906
Phone: (847) 392-9220
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $679.
Total Amount is formed as General ($679) + Research ($0) + Ownership ($0) = $679.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($287).
Total Amount
$679
General + Research + Ownership
Payments
14
Total payment records
General Amount
$679
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $287 |
| CooperVision Inc. | $137 |
| Optos, Inc. | $100 |
| Johnson & Johnson Vision Care, Inc. | $90 |
| Tarsus Pharmaceuticals, Inc. | $47 |
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: 2019-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190315002284 | I | Optometry | IL | TBD |
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.
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 60101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | IL |
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