EYECARE OF CARLINVILLE PC – Optometrist, NPI 1578803011

EYECARE OF CARLINVILLE PC is a healthcare provider. based in Carlinville, Illinois. specializing in Optometrist. The organization holds a License No. 046010516 (IL). The NPI Number for EYECARE OF CARLINVILLE PC is 1578803011

Main info

Organization
Name
EYECARE OF CARLINVILLE PC
NPI
1578803011
Phone
(217) 854-7611
Address
300 N BROAD ST
Authorized Official
DR. KATIE M GOODMAN-THOMAS OPTOMETRIST OD
Enumeration Date
20 February 2013
Last Update Date
20 February 2013
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 EYECARE OF CARLINVILLE PC

  • 300 N BROAD ST

    CARLINVILLE, IL 626261304

    Phone: (217) 854-7611

    Fax: (217) 854-8120

    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: 2013-10-22

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
O20131022000384OClinic/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

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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 62626)

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Reviews

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Frequently asked questions

Can I cross-check EYECARE OF CARLINVILLE PC using NPI 1578803011?
NPI 1578803011 belongs to EYECARE OF CARLINVILLE PC; compare other details if you need extra assurance.
Is there an active status for EYECARE OF CARLINVILLE PC?
For scheduling context, EYECARE OF CARLINVILLE PC is shown as active in the registry.
What expertise is attributed to EYECARE OF CARLINVILLE PC?
EYECARE OF CARLINVILLE PC's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EYECARE OF CARLINVILLE PC?
Travel planning: use Carlinville, Illinois as the reference point for EYECARE OF CARLINVILLE PC, then confirm.
When was this NPI issued?
Enumeration for EYECARE OF CARLINVILLE PC is noted as February 20, 2013 where the registry provides it.

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