WARRENVILLE EYECARE LLC – Ophthalmology Physician, NPI 1457696577

WARRENVILLE EYECARE LLC is a healthcare provider. based in Warrenville, Illinois. specializing in Ophthalmology Physician. The organization holds a License No. 036126563 (IL). The NPI Number for WARRENVILLE EYECARE LLC is 1457696577

Main info

Organization
Name
WARRENVILLE EYECARE LLC
NPI
1457696577
Phone
Not provided
Address
2S631 RTE 59
Authorized Official
LISA NIJM OWNER
Enumeration Date
29 November 2012
Last Update Date
13 December 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for WARRENVILLE EYECARE LLC

  • 2S631 RTE 59

    WARRENVILLE, IL 605551441

    Phone:

    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: 2012-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20121129000598OClinic/Group PracticeILTBD

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.

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 60555)

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Reviews

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Frequently asked questions

What is WARRENVILLE EYECARE LLC's NPI number?
WARRENVILLE EYECARE LLC's NPI is 1457696577 — the number used across U.S. healthcare to identify this provider.
Would WARRENVILLE EYECARE LLC appear as active to a payer?
You can treat WARRENVILLE EYECARE LLC as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with WARRENVILLE EYECARE LLC?
WARRENVILLE EYECARE LLC's record emphasizes Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with WARRENVILLE EYECARE LLC?
Directory geography for WARRENVILLE EYECARE LLC centers on Warrenville, Illinois.
When was this NPI issued?
Enumeration for WARRENVILLE EYECARE LLC is noted as November 29, 2012 where the registry provides it.

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