ELIZABETH WYLES (O.D.) – Optometrist, NPI 1013954650

ELIZABETH WYLES (O.D.) is a healthcare provider. based in Forest grove, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046009904 (IL). The NPI Number for ELIZABETH WYLES (O.D.) is 1013954650

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH WYLES (O.D.)
NPI
1013954650
Phone
(503) 352-2792
Address
2043 College Way
Enumeration Date
1 June 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3129497751
Graduation Year
1998 (28 years ago)
PAC ID
7113959412
Group Practice PAC ID
7416851639
Professional Enrollment ID
I20060828000057
Address ID
IL606163878CH3241XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for ELIZABETH WYLES (O.D.)

  • 2043 College Way

    Forest Grove, OR 971161756

    Phone: (503) 352-2792

    Type: Location

  • Illinois College of Optometry, 3241, South Michigan Avenue, Bronzeville, Douglas, Chicago, Cook County, Illinois, 60616, United States

    CHICAGO, IL 606164201

    Phone: (312) 949-9187

    Type: Mailing

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 $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-05-17 • Largest payer in this snapshot: ABBVIE INC. ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$34
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: 2006-08-28

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
I20060828000057IOptometryILTBD

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 97116)

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Provider's Procedures

ELIZABETH WYLES (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92083Measurement of field of vision during daylight conditions3622

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: 7416851639View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P H T H A L M O L O G YIN
O P T O M E T R YIL
O P T O M E T R YMO
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 YNY
O P T O M E T R YIL
O P T O M E T R YGA
O P T O M E T R YIL

Reviews

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Frequently asked questions

How do I look up ELIZABETH WYLES (O.D.) by NPI?
Use NPI 1013954650 when you need to reference ELIZABETH WYLES (O.D.) in forms, claims, or directories.
Is ELIZABETH WYLES (O.D.)'s NPI currently valid?
The extract we use shows ELIZABETH WYLES (O.D.) as active.
What kind of provider is ELIZABETH WYLES (O.D.)?
The page reflects Optometrist for ELIZABETH WYLES (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place ELIZABETH WYLES (O.D.)?
The snapshot lists Forest Grove, Oregon for ELIZABETH WYLES (O.D.); download NPPES for the complete set.
How can I contact ELIZABETH WYLES (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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