LISA MARIE VIVACQUA (OD) – Optometrist, NPI 1982335238

LISA MARIE VIVACQUA (OD) is a healthcare provider. based in Elk grove village, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046.011633 (IL). The NPI Number for LISA MARIE VIVACQUA (OD) is 1982335238

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE VIVACQUA (OD)
NPI
1982335238
Phone
(224) 616-8920
Address
1360 CUMBERLAND CIR W
Enumeration Date
17 June 2022
Last Update Date
17 June 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6306682020
Graduation Year
2022 (4 years ago)
PAC ID
3779937263
Group Practice PAC ID
9335388347
Professional Enrollment ID
I20231128003502
Address ID
IL601902058WI27XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for LISA MARIE VIVACQUA (OD)

  • 1360 CUMBERLAND CIR W

    ELK GROVE VILLAGE, IL 600073806

    Phone: (224) 616-8920

    Type: Mailing

  • 850 E GOLF RD

    SCHAUMBURG, IL 601734502

    Phone: (847) 519-1020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,353.

Total Amount is formed as General ($1,353) + Research ($0) + Ownership ($0) = $1,353.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: CooperVision Inc. ($891).

Total Amount

$1,353

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2023-11-28

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
I20231128003502IOptometryILTBD

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 60007)

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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: 9335388347View 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

Reviews

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Frequently asked questions

Does LISA MARIE VIVACQUA (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LISA MARIE VIVACQUA (OD) uses 1982335238.
Is LISA MARIE VIVACQUA (OD) still practicing?
LISA MARIE VIVACQUA (OD) is currently listed as active in the public NPI registry.
What is LISA MARIE VIVACQUA (OD)'s specialty?
The listing groups LISA MARIE VIVACQUA (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does LISA MARIE VIVACQUA (OD) serve?
LISA MARIE VIVACQUA (OD)'s listing highlights Elk Grove Village, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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