ALYSSA MARIE KEHOE (OD) – Optometrist, NPI 1730743519

ALYSSA MARIE KEHOE (OD) is a healthcare provider. based in Stickney, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046011339 (IL). The NPI Number for ALYSSA MARIE KEHOE (OD) is 1730743519

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA MARIE KEHOE (OD)
NPI
1730743519
Phone
(708) 788-3400
Address
4401 S HARLEM AVE
Enumeration Date
26 April 2019
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8889646681
Graduation Year
2019 (7 years ago)
PAC ID
1052649928
Group Practice PAC ID
7719870807
Professional Enrollment ID
I20220720001470
Address ID
IN462041904IN201XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for ALYSSA MARIE KEHOE (OD)

  • 4401, South Harlem Avenue, Stickney, Stickney Township, Cook County, Illinois, 60402, United States

    STICKNEY, IL 604024250

    Phone: (708) 788-3400

    Fax: (708) 788-3472

    Type: Location

  • 4401 S Harlem Ave

    Stickney, IL 604024250

    Phone: (708) 788-3400

    Fax: (708) 788-3472

    Type: Location

  • 901 E 86TH ST

    INDIANAPOLIS, IN 462401807

    Phone: (317) 333-8301

    Type: Location

  • 350, North Harwood Street, Downtown PID, Dallas, TX, Dallas, Dallas County, Texas, 75201, United States

    DALLAS, TX 752012468

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $542.

Total Amount is formed as General ($542) + Research ($0) + Ownership ($0) = $542.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($165).

Total Amount

$542

General + Research + Ownership

Payments

16

Total payment records

General Amount

$542

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

Latest reported date

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: 2022-07-20

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
I20220720001470IOptometryINTBD

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 minutes206190$0
99213Established patient office or other outpatient visit, 20-29 minutes12785$0
92014Established patient complete exam of visual system102102$0
92004New patient complete exam of visual system8484$0
92012Established patient problem focused exam of visual system8379$0
View full utilization report →

Insurance plans in this area (ZIP 60402)

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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: 7719870807View full group profile
NameSpecialtyState
-IN
O P T O M E T R YPA
O P T O M E T R YIN
O P T O M E T R YCT
O P T O M E T R YNJ
O P T O M E T R YVA
O P T O M E T R YNC
O P T O M E T R YRI
O P T O M E T R YKY
O P T O M E T R YPA

Reviews

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Frequently asked questions

How do payers reference ALYSSA MARIE KEHOE (OD)?
For ALYSSA MARIE KEHOE (OD), use NPI 1730743519 as the unique 10-digit identifier.
Active or inactive — what applies to ALYSSA MARIE KEHOE (OD)?
You should see ALYSSA MARIE KEHOE (OD) as active in CMS-hosted NPPES data.
What area of care is associated with ALYSSA MARIE KEHOE (OD)?
ALYSSA MARIE KEHOE (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is ALYSSA MARIE KEHOE (OD) located near Stickney?
ALYSSA MARIE KEHOE (OD) currently maps to Stickney, Illinois in this extract.
When was this NPI issued?
Enumeration for ALYSSA MARIE KEHOE (OD) is noted as April 26, 2019 where the registry provides it.

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