SERENE ANN FAKHOURY (OD) – Optometrist, NPI 1780576702

SERENE ANN FAKHOURY (OD) is a healthcare provider. based in Lombard, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004585A (IN). The NPI Number for SERENE ANN FAKHOURY (OD) is 1780576702

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
SERENE ANN FAKHOURY (OD)
NPI
1780576702
Phone
(312) 451-5733
Address
2015 S FINLEY RD
Enumeration Date
15 July 2025
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309649800
Graduation Year
2025 (1 year ago)
PAC ID
6709393077
Group Practice PAC ID
1456589829
Professional Enrollment ID
I20250813001810
Address ID
IL605591421WE409XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for SERENE ANN FAKHOURY (OD)

  • 2015 S FINLEY RD

    LOMBARD, IL 601484828

    Phone: (312) 451-5733

    Type: Mailing

  • 409 W OGDEN AVE

    WESTMONT, IL 605591421

    Phone: (630) 964-9800

    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: 2025-08-13

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
I20250813001810IOptometryILTBD

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 60148)

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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: 1456589829View full group profile
NameSpecialtyState
O P T O M E T R YIL
-IL
O P H T H A L M O L O G YIL
-IL

Reviews

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Frequently asked questions

Is there an official ID for SERENE ANN FAKHOURY (OD) in U.S. healthcare records?
The official identifier for SERENE ANN FAKHOURY (OD) is NPI 1780576702.
Active or inactive — what applies to SERENE ANN FAKHOURY (OD)?
You should see SERENE ANN FAKHOURY (OD) as active in CMS-hosted NPPES data.
What kind of doctor is SERENE ANN FAKHOURY (OD)?
SERENE ANN FAKHOURY (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is SERENE ANN FAKHOURY (OD) located near Lombard?
SERENE ANN FAKHOURY (OD) currently maps to Lombard, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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