Eyes of Illinois Surgery Center – Ambulatory Surgical Clinic/Center, NPI 1386641066

Eyes of Illinois Surgery Center is a healthcare provider. based in Maryville, Illinois. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 7002132 (IL). The NPI Number for Eyes of Illinois Surgery Center is 1386641066

Main info

Organization
Name
Eyes of Illinois Surgery Center
NPI
1386641066
Phone
(618) 288-7483
Address
12 PROFESSIONAL PARK DR
Authorized Official
JOSEPH PRAVOOT GIRA VP, CMO MD
Enumeration Date
7 July 2005
Last Update Date
11 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Eyes of Illinois Surgery Center

  • 12, Professional Park Drive, Maryville, Madison County, Illinois, 62062, United States

    MARYVILLE, IL 620625672

    Phone: (618) 288-7483

    Fax: (618) 288-7196

    Mailing address matches the actual address.

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: 2006-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (770 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
O20060426000316OAmbulatory Surgical CenterIL2024-04-30

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg860122$0
66984Removal of cataract with insertion of prosthetic lens728448$0
J1097Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml11221$0
66821Removal of recurring cataract in lens capsule using a laser10472$0
66982Complex removal of cataract with insertion of prosthetic lens4035$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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Reviews

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Frequently asked questions

Does Eyes of Illinois Surgery Center share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Eyes of Illinois Surgery Center uses 1386641066.
Can I rely on Eyes of Illinois Surgery Center being an active provider?
As of the registry snapshot, Eyes of Illinois Surgery Center is marked active.
What healthcare role does Eyes of Illinois Surgery Center hold?
Scheduling teams often label Eyes of Illinois Surgery Center under Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
What address line appears for Eyes of Illinois Surgery Center?
Eyes of Illinois Surgery Center's geographic hint is Maryville, Illinois in our summary view.
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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