DR. ALEXANDRIA RENEE WISS (OD) – Optometrist, NPI 1780178657

DR. ALEXANDRIA RENEE WISS (OD) is a healthcare provider. based in Elgin, Illinois. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 0003387 (CO). The NPI Number for DR. ALEXANDRIA RENEE WISS (OD) is 1780178657

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRIA RENEE WISS (OD)
NPI
1780178657
Phone
(630) 624-5239
Address
40W770 STONECREST DR
Enumeration Date
14 June 2018
Last Update Date
14 June 2018

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
303850949917
Graduation Year
2018 (8 years ago)
PAC ID
4880943521
Group Practice PAC ID
0042101560
Professional Enrollment ID
I20180814002094
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ALEXANDRIA RENEE WISS (OD)

  • 40W770 STONECREST DR

    ELGIN, IL 601248171

    Phone: (630) 624-5239

    Type: Mailing

  • East Orchard Road, Greenwood Village, Arapahoe County, Colorado, 80111-2508, United States

    GREENWOOD VILLAGE, CO 801112631

    Phone: (303) 850-9499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $200.

Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($116).

Total Amount

$200

General + Research + Ownership

Payments

2

Total payment records

General Amount

$200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

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: 2018-08-14

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
I20180814002094IOptometryCOTBD

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 60124)

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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: 0042101560View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
-CO
O P T O M E T R YWA
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

What is the standard ID for DR. ALEXANDRIA RENEE WISS (OD) in the U.S.?
In the U.S., DR. ALEXANDRIA RENEE WISS (OD) is identified by NPI 1780178657.
Should I treat DR. ALEXANDRIA RENEE WISS (OD) as an active provider?
Patients and plans typically see DR. ALEXANDRIA RENEE WISS (OD) as active in the national extract.
How should patients interpret DR. ALEXANDRIA RENEE WISS (OD)'s specialty?
The extract shows Optometrist for DR. ALEXANDRIA RENEE WISS (OD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. ALEXANDRIA RENEE WISS (OD)?
The directory associates DR. ALEXANDRIA RENEE WISS (OD) with Elgin, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains DR. ALEXANDRIA RENEE WISS (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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