OAK PARK EYE CENTER S.C. – Ophthalmology Physician, NPI 1386736650

OAK PARK EYE CENTER S.C. is a healthcare provider. based in Oak brook, Illinois. specializing in Ophthalmology Physician. The organization holds a License No. 007001910 (IL). The NPI Number for OAK PARK EYE CENTER S.C. is 1386736650

Main info

Organization
Name
OAK PARK EYE CENTER S.C.
NPI
1386736650
Phone
(630) 279-3673
Address
1200 Harger Rd Ste 800
Authorized Official
DR. MICHAEL J HENNESSEY PRESIDENT MD
Enumeration Date
28 September 2006
Last Update Date
4 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for OAK PARK EYE CENTER S.C.

  • 1200 Harger Rd Ste 800

    Oak Brook, IL 605231825

    Phone: (630) 279-3673

    Fax: (630) 279-3843

    Type: Location

  • North Avenue, Elmwood, Geneva, Ashtabula County, Ohio, 44041, United States

    ELMWOOD PARK, IL 607074157

    Phone: (708) 452-4257

    Fax: (708) 452-4283

    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: 2007-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (682 days ago).

Enrollment records

1

Earliest due date

2024-07-31

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
O20071018000468OClinic/Group PracticeIL2024-07-31

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.

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 60523)

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Reviews

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Frequently asked questions

Does OAK PARK EYE CENTER S.C. share an NPI with anyone else?
NPI numbers are unique to each provider or organization — OAK PARK EYE CENTER S.C. uses 1386736650.
Is OAK PARK EYE CENTER S.C. still practicing?
OAK PARK EYE CENTER S.C. is currently listed as active in the public NPI registry.
What is OAK PARK EYE CENTER S.C.'s primary classification?
Ophthalmology Physician is the headline specialty for OAK PARK EYE CENTER S.C. here. Clinical services aligned with this taxonomy classification.
What address line appears for OAK PARK EYE CENTER S.C.?
OAK PARK EYE CENTER S.C.'s geographic hint is Oak Brook, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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