DR. HOLLY LE (OD) – Optometrist, NPI 1871018036

DR. HOLLY LE (OD) is a healthcare provider. based in Oak lawn, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046.011128 (IL). The NPI Number for DR. HOLLY LE (OD) is 1871018036

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOLLY LE (OD)
NPI
1871018036
Phone
(708) 423-2500
Address
6209 W 95TH ST
Enumeration Date
9 August 2017
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7084232500
Graduation Year
2017 (9 years ago)
PAC ID
3173897006
Group Practice PAC ID
1052314259
Professional Enrollment ID
I20170915002453
Address ID
IL604532701OA6209XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. HOLLY LE (OD)

  • 6209 W 95TH ST

    OAK LAWN, IL 604532701

    Phone: (708) 423-2500

    Fax: (708) 423-2845

    Type: Mailing

  • 28201 Diehl Rd

    Warrenville, IL 605553934

    Phone: (630) 836-8830

    Type: Location

  • 1333, Burr Ridge Parkway, Burr Ridge, Lyons Township, Cook County, Illinois, 60527, United States

    STE 200

    BURR RIDGE, IL 605270833

    Phone: (630) 756-3180

    Fax: (630) 608-4397

    Type: Mailing

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: 2017-09-15

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
I20170915002453IOptometryILTBD

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 60453)

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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: 1052314259View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Is there an official ID for DR. HOLLY LE (OD) in U.S. healthcare records?
The official identifier for DR. HOLLY LE (OD) is NPI 1871018036.
Would DR. HOLLY LE (OD) appear as active to a payer?
You can treat DR. HOLLY LE (OD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. HOLLY LE (OD)?
DR. HOLLY LE (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. HOLLY LE (OD)?
Directory geography for DR. HOLLY LE (OD) centers on Oak Lawn, Illinois.
Does DR. HOLLY LE (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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