DR. LYUDMILA P PODBEREZIN (O.D.) – Optometrist, NPI 1790914992

DR. LYUDMILA P PODBEREZIN (O.D.) is a healthcare provider. based in Skokie, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046010277 (IL). The NPI Number for DR. LYUDMILA P PODBEREZIN (O.D.) is 1790914992

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. LYUDMILA P PODBEREZIN (O.D.)
NPI
1790914992
Phone
(847) 763-0600
Address
3455 DEMPSTER ST
Enumeration Date
8 July 2009
Last Update Date
10 March 2013

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7814383372
Graduation Year
2009 (17 years ago)
PAC ID
7113104449
Group Practice PAC ID
7517911092
Professional Enrollment ID
I20200610000456
Address ID
MA021803305ST75XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. LYUDMILA P PODBEREZIN (O.D.)

  • 3455, Dempster Street, Skokie, Niles Township, Cook County, Illinois, 60076, United States

    SKOKIE, IL 600762455

    Phone: (847) 763-0600

    Fax: (847) 763-0660

    Mailing address matches the actual address.

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 $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Alcon Vision LLC ($143).

Total Amount

$143

General + Research + Ownership

Payments

1

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$143
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: 2020-06-10

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
I20200610000456IOptometryMATBD

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 60076)

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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: 7517911092View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YLA
O P T O M E T R YMA

Reviews

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Frequently asked questions

Does DR. LYUDMILA P PODBEREZIN (O.D.) have a public NPI I can cite?
Public records show DR. LYUDMILA P PODBEREZIN (O.D.) under NPI 1790914992.
Should I treat DR. LYUDMILA P PODBEREZIN (O.D.) as an active provider?
Patients and plans typically see DR. LYUDMILA P PODBEREZIN (O.D.) as active in the national extract.
Which specialty label fits DR. LYUDMILA P PODBEREZIN (O.D.)?
NPPES ties DR. LYUDMILA P PODBEREZIN (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. LYUDMILA P PODBEREZIN (O.D.) in Skokie, Illinois?
For routing, start with Skokie, Illinois for DR. LYUDMILA P PODBEREZIN (O.D.), then verify phone and hours locally.
Who maintains DR. LYUDMILA P PODBEREZIN (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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