Quantum Vision Centers – Optometrist, NPI 1376586685
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Quantum Vision Centers
1310 Dadrian Professional Park
Godfrey, IL 620351685
Phone: (618) 433-5005
Type: Location
2121 S State Route 157
Edwardsville, IL 620253607
Phone: (618) 277-1130
Type: Location
4900 W Main St
Belleville, IL 622264725
Phone: (618) 235-2400
Type: Location
12 Professional Park Dr
Maryville, IL 620625672
Phone: (618) 288-7266
Type: Location
400 N Broadway Ave
Salem, IL 628811514
Phone: (618) 277-1130
Type: Location
111, West Lincoln Street, Belleville, Saint Clair County, Illinois, 62220, United States
BELLEVILLE, IL 622202019
Phone: (618) 277-1130
Fax: (618) 277-6651
Type: Mailing
3990, North Illinois Street, Swansea, Saint Clair County, Illinois, 62226, United States
SWANSEA, IL 62226
Phone: (636) 200-4393
Fax: (618) 277-6651
Type: Location
PO BOX 415000
NASHVILLE, TN 372412019
Phone: (636) 200-4393
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: 2011-10-26
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 |
|---|---|---|---|---|
| O20040805000548 | O | Clinic/Group Practice | IL | TBD |
| O20111026000149 | O | Clinic/Group Practice | MO | 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 62035)
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