RETINAL VITREAL CONSULTANTS LTD – Ophthalmology Physician, NPI 1164569380
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RETINAL VITREAL CONSULTANTS LTD
2600 S MICHIGAN AVE
STE 212
CHICAGO, IL 606162859
Phone: (312) 567-2795
Fax: (800) 707-4890
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606166516
Phone: (312) 567-2795
Fax: (800) 707-4890
Type: Mailing
Mercy Hospital & Medical Center, 2525, South Michigan Avenue, Near South Side, Chicago, Cook County, Illinois, 60616, United States
8TH FLOOR EYE CENTER
CHICAGO, IL 606162333
Phone: (312) 567-2795
Fax: (312) 567-2783
Type: Location
3241 S Michigan Ave
Chicago, IL 606164201
Phone: (312) 949-7221
Fax: (312) 949-7667
Type: Location
4429 W 95th St
Oak Lawn, IL 604532625
Phone: (708) 422-2665
Fax: (708) 422-2997
Type: Location
2600 S MICHIGAN AVE STE 212
CHICAGO, IL 606162859
Phone: (312) 567-2795
Fax: (800) 707-4890
Type: Location
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: 2008-04-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (677 days ago).
Enrollment records
1
Earliest due date
2024-07-31
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 |
|---|---|---|---|---|
| O20080412000092 | O | Clinic/Group Practice | IL | 2024-07-31 |
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.
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 60616)
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