ANDREA CAMILLE HONIGSBLUM (MD) – Ophthalmology Physician, NPI 1750498168
Ophthalmology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
960 OPHTHALMOLOGY in IL
Provider Addresses for ANDREA CAMILLE HONIGSBLUM (MD)
9650 GROSS POINT RD STE 1900
SKOKIE, IL 600765006
Phone: (224) 251-2020
Fax: (224) 251-2010
Type: Location
2319, North Leavitt Street, Logan Square, Chicago, West Chicago Township, Cook County, Illinois, 60647, United States
UNIT 1
CHICAGO, IL 606476194
Phone: (773) 227-5511
Type: Mailing
NorthShore Evanston Parking Garage, 1015, Central Street, Evanston, Evanston Township, Cook County, Illinois, 60201, United States
EVANSTON, IL 602011701
Phone: (847) 328-6060
Fax: (847) 328-9246
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2023-11-29 • Largest payer in this snapshot: Alcon Vision LLC ($115).
Total Amount
$115
General + Research + Ownership
Payments
1
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $115 |
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: 2008-10-22
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 |
|---|---|---|---|---|
| I20081022000396 | I | Ophthalmology | 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 60076)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| - | IL |
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