The Chicago Lighthouse – Low Vision Rehabilitation Optometrist, NPI 1043326309
Low Vision Rehabilitation Optometrist
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for The Chicago Lighthouse
1850 W ROOSEVELT RD
CHICAGO, IL 606081200
Phone: (312) 666-1331
Fax: (312) 997-3663
Type: Mailing
222 Waukegan Rd
Glenview, IL 600255159
Phone: (847) 510-6200
Fax: (847) 729-2207
Type: Location
3198 E 83rd Pl
Merrillville, IN 464106418
Phone: (312) 997-3686
Fax: (312) 997-3663
Type: Location
19550 Governors Hwy
Flossmoor, IL 604222125
Phone: (312) 997-3686
Fax: (312) 997-3663
Type: Location
The Chicago Lighthouse for People Who Are Blind or Visually Impaired, 1850, West Roosevelt Road, Illinois Medical District, Near West Side, Chicago, West Chicago Township, Cook County, Illinois, 60612, United States
CHICAGO, IL 60608
Phone: (312) 666-1331
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-05-07
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| O20040310000294 | O | Clinic/Group Practice | IL | TBD |
| O20150507002094 | O | Clinic/Group Practice | IN | 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 60608)
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