Unknown Individual – Optometrist, NPI 1992936454
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
366, Dixie Highway, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States
CHICAGO HEIGHTS, IL 604111758
Phone:
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 19 Open Payments records for all available years, with a total value of $458.
Total Amount is formed as General ($458) + Research ($0) + Ownership ($0) = $458.
Last reported payment date: 2024-06-13 • Largest payer in this snapshot: ABBVIE INC. ($103).
Total Amount
$458
General + Research + Ownership
Payments
19
Total payment records
General Amount
$458
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $103 |
| Mallinckrodt Hospital Products Inc. | $70 |
| RxSight Inc | $61 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $48 |
| Alcon Vision LLC | $47 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100123000080 | I | Optometry | IL | TBD |
| I20220418002616 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 148 | 145 | $0 |
| 92250 | Photography of the retina | 131 | 131 | $0 |
| 83861 | Microfluid analysis of tears | 112 | 56 | $0 |
| 92012 | Established patient problem focused exam of visual system | 86 | 64 | $0 |
| 92004 | New patient complete exam of visual system | 78 | 78 | $0 |
Insurance plans in this area (ZIP 60411)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | MA | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL |
Reviews
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