Couture Vision – Optometrist, NPI 1063776292

Couture Vision is a healthcare provider. based in Naperville, Illinois. specializing in Optometrist. The organization holds a License No. 046.010312 (IL). The NPI Number for Couture Vision is 1063776292

Main info

Organization
Name
Couture Vision
NPI
1063776292
Phone
(630) 369-3937
Address
232 S WASHINGTON ST STE 3
Authorized Official
DR. ADAM BLACK OWNER O.D.
Enumeration Date
3 July 2012
Last Update Date
10 October 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:13State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Couture Vision

  • 232 S WASHINGTON ST STE 3

    NAPERVILLE, IL 605405370

    Phone: (630) 369-3937

    Fax: (630) 369-3933

    Type: Location

  • 16660 S WINDSOR LN

    LOCKPORT, IL 604416286

    Phone: (510) 847-6959

    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: 2012-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (769 days ago).

Enrollment records

1

Earliest due date

2024-04-30

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
O20121016000432OClinic/Group PracticeIL2024-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 60540)

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Reviews

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Frequently asked questions

Can I use this page to confirm Couture Vision's NPI?
Yes. Couture Vision is listed with NPI 1063776292 in the public NPI dataset.
Can I rely on Couture Vision being an active provider?
As of the registry snapshot, Couture Vision is marked active.
What healthcare role does Couture Vision hold?
Scheduling teams often label Couture Vision under Optometrist. Clinical services aligned with this taxonomy classification.
What area does Couture Vision serve?
Couture Vision's listing highlights Naperville, Illinois; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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