SYDNI BILLESBACH (OD) – Optometrist, NPI 1467027094

SYDNI BILLESBACH (OD) is a healthcare provider. based in Auburn, Nebraska. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 107945 (IA). The NPI Number for SYDNI BILLESBACH (OD) is 1467027094

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SYDNI BILLESBACH (OD)
NPI
1467027094
Phone
Not provided
Address
1722 Q ST
Enumeration Date
25 May 2021
Last Update Date
25 May 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
4029328007
Graduation Year
2021 (5 years ago)
PAC ID
4587060215
Group Practice PAC ID
9638343650
Professional Enrollment ID
I20210914000639
Address ID
NE681234165BE3906XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for SYDNI BILLESBACH (OD)

  • 1722 Q ST

    AUBURN, NE 683051750

    Phone:

    Type: Mailing

  • 132 W BROADWAY

    COUNCIL BLUFFS, IA 515034311

    Phone: (712) 325-4999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: CooperVision Inc. ($90).

Total Amount

$90

General + Research + Ownership

Payments

1

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$90
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: 2021-09-14

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
I20210914000639IOptometryNETBD

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 68305)

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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: 9638343650View full group profile
NameSpecialtyState
O P T O M E T R YNE

Reviews

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Frequently asked questions

What unique ID ties claims to SYDNI BILLESBACH (OD)?
NPI 1467027094 is assigned to SYDNI BILLESBACH (OD) under the national enumeration system.
Is SYDNI BILLESBACH (OD) active in the national directory?
SYDNI BILLESBACH (OD)'s public NPI profile is in an active state.
Can you summarize SYDNI BILLESBACH (OD)'s specialty in plain language?
Clinically, the directory lists SYDNI BILLESBACH (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for SYDNI BILLESBACH (OD)?
We surface Auburn, Nebraska for SYDNI BILLESBACH (OD) based on available NPPES addresses.
What if Auburn, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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