DR. ANDREW MARIO ARCHILA (O.D.) – Optometrist, NPI 1922087261
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
Provider Addresses for DR. ANDREW MARIO ARCHILA (O.D.)
3001A SIXTH STREET
NAVAL HEALTH CLINIC (ATTN: JANETTE KOZLOWSKI)
GREAT LAKES, IL 60088
Phone: (847) 688-2755
Type: Location
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 772042020
Phone: (713) 743-2020
Fax: (713) 743-0963
Type: Location
102, Waukegan Road, Meadow Park, Groceville, Cut and Shoot, Montgomery County, Texas, 77306, United States
WAUKEGAN, IL 600856731
Phone: (347) 321-4936
Type: Mailing
4401 MARTIN LUTHER KING BLVE
HOUSTON, TX 772042020
Phone: (713) 743-2020
Fax: (713) 743-0963
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $1,091.
Total Amount is formed as General ($1,091) + Research ($0) + Ownership ($0) = $1,091.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Optos, Inc. ($557).
Total Amount
$1,091
General + Research + Ownership
Payments
6
Total payment records
General Amount
$1,091
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optos, Inc. | $557 |
| Haag-Streit USA, Inc. | $193 |
| ABBVIE INC. | $190 |
| VISIONARY OPTICS LLC | $151 |
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: 2021-09-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210930003174 | I | Optometry | TX | TBD |
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.
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 60088)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| - | TX | |
| O P T O M E T R Y | TX | |
| O P H T H A L M O L O G Y | KY | |
| - | TX |
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