WEST SUBURBAN EYE ASSOCIATES LLC – Ophthalmology Physician, NPI 1255354601
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WEST SUBURBAN EYE ASSOCIATES LLC
Erie Court, Ridgeland, Oak Park, Cook County, Illinois, 60302, United States
SUITE 6140
OAK PARK, IL 60302
Phone: (708) 848-2400
Fax: (708) 445-8269
Type: Mailing
1 ERIE CT STE 6140
OAK PARK, IL 603022510
Phone: (708) 848-2400
Fax: (708) 445-8269
Type: Mailing
1011 Lake St Ste 300
Oak Park, IL 603011138
Phone: (708) 848-2400
Fax: (708) 445-8269
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.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| O20050210000888 | O | Clinic/Group Practice | IL | 2023-11-30 |
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.
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 60302)
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