The Retina Center – Retina Specialist (Ophthalmology) Physician, NPI 1225038870

The Retina Center is a healthcare provider. based in Harvey, Illinois. specializing in Retina Specialist (Ophthalmology) Physician. The organization holds a License No. 036113707 (IL). The NPI Number for The Retina Center is 1225038870

Main info

Organization
Name
The Retina Center
NPI
1225038870
Phone
(708) 596-8710
Address
71 W 156TH ST
Authorized Official
MARY FREDERICK BILLING MANAGER
Enumeration Date
26 July 2005
Deactivation Date
16 May 2018
Reactivation Date
18 May 2018
Last Update Date
4 February 2026

Contacts

Secure Messaging
jcivantos@illret.intellechartdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness100
Years active:20State licenses:17/7 NPPES fields on file

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Provider Addresses for The Retina Center

  • 71, West 156th Street, Harvey, Thornton Township, Cook County, Illinois, 60426, United States

    STE 400

    HARVEY, IL 604264265

    Phone: (708) 596-8710

    Fax: (708) 596-9820

    Type: Mailing

  • 71 W 156th St

    Ste 400

    Harvey, IL 604264265

    Phone: (708) 596-8710

    Fax: (708) 596-9820

    Type: Location

  • 11516 183RD PL STE SW

    ORLAND PARK, IL 604679471

    Phone: (708) 877-1300

    Fax: (708) 596-8719

    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: 2005-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-06-30 (709 days ago).

Enrollment records

2

Earliest due date

2024-06-30

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
O20031106000024OClinic/Group PracticeIL2024-06-30
O20050627001092OClinic/Group PracticeINTBD

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 60426)

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Reviews

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Frequently asked questions

What federal number belongs to The Retina Center?
The federal identifier for The Retina Center is NPI 1225038870.
Is The Retina Center active in the national directory?
The Retina Center's public NPI profile is in an active state.
What does The Retina Center treat or focus on?
Patients typically see The Retina Center under the specialty Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Where is The Retina Center's primary listing?
We display Harvey, Illinois because that is what the record indicates for The Retina Center.
How can I contact The Retina Center?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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