SUSAN M PENNER (OD) – Optometrist, NPI 1891842464

SUSAN M PENNER (OD) is a healthcare provider. based in Elgin, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046-008009 (IL). The NPI Number for SUSAN M PENNER (OD) is 1891842464

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN M PENNER (OD)
NPI
1891842464
Phone
(847) 888-1555
Address
165 S Randall Rd
Enumeration Date
4 January 2007
Last Update Date
18 June 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
6186568888
Graduation Year
1987 (39 years ago)
PAC ID
6406825918
Group Practice PAC ID
9436210762
Professional Enrollment ID
I20070913000816
Address ID
IL620252595ED2100XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for SUSAN M PENNER (OD)

  • 165 S Randall Rd

    Elgin, IL 601235551

    Phone: (847) 888-1555

    Fax: (847) 888-2508

    Type: Location

  • 134, East Blackhawk Drive, Byron, Ogle County, Illinois, 61010, United States

    BYRON, IL 610108610

    Phone: (815) 234-2020

    Fax: (815) 234-7070

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Alcon Vision LLC ($91).

Total Amount

$153

General + Research + Ownership

Payments

4

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

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: 2007-09-13

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
I20070913000816IOptometryILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina10098$0
92014Established patient complete exam of visual system9190$0
92012Established patient problem focused exam of visual system3426$0
92133Imaging of optic nerve2422$0
92083Exam of visual field with extended testing1616$0
View full utilization report →

Insurance plans in this area (ZIP 60123)

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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: 9436210762View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
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

What is the registry number for SUSAN M PENNER (OD)?
The registry entry for SUSAN M PENNER (OD) shows NPI 1891842464.
Is SUSAN M PENNER (OD) currently accepting referrals based on NPI status?
Registry metadata lists SUSAN M PENNER (OD) as active.
What type of care does SUSAN M PENNER (OD) provide?
SUSAN M PENNER (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit SUSAN M PENNER (OD) in Elgin, Illinois?
For routing, start with Elgin, Illinois for SUSAN M PENNER (OD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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