DR. SANDRA ROSE PELFREY-JONES (O.D.) – Optometrist, NPI 1770589244
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. SANDRA ROSE PELFREY-JONES (O.D.)
1481, Woodlawn Road, Lincoln, Logan County, Illinois, 62656, United States
LINCOLN, IL 626569790
Phone: (217) 735-1707
Fax: (217) 735-1903
Type: Location
8309, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States
PEORIA, IL 616152170
Phone: (309) 693-9540
Fax: (309) 693-9542
Type: Mailing
1477 WOODLAWN RD
LINCOLN, IL 626569790
Phone: (217) 735-1707
Fax: (217) 735-1903
Type: Location
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: 2004-04-28
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 |
|---|---|---|---|---|
| I20040428000760 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 78 | 78 | $0 |
| 92004 | New patient complete exam of visual system | 29 | 29 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 15 | $0 |
| 92134 | Imaging of retina | 11 | 11 | $0 |
Insurance plans in this area (ZIP 62656)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| - | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| - | IL | |
| - | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL |
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