Mercy Clinic-Lebanon-Eye Specialists – Eyewear Supplier, NPI 1649477456

Mercy Clinic-Lebanon-Eye Specialists is a healthcare provider. based in Chicago, Illinois. specializing in Eyewear Supplier. The organization holds a License No. 106044 (MO). The NPI Number for Mercy Clinic-Lebanon-Eye Specialists is 1649477456

Main info

Organization
Name
Mercy Clinic-Lebanon-Eye Specialists
NPI
1649477456
Phone
(417) 829-4627
Address
PO BOX 776071
Authorized Official
WILLIAM J ROBERTS CFO
Enumeration Date
27 June 2007
Last Update Date
2 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness90
Years active:18State licenses:1Digital endpoints

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Provider Addresses for Mercy Clinic-Lebanon-Eye Specialists

  • PO BOX 776071

    CHICAGO, IL 606776071

    Phone: (417) 829-4627

    Fax: (417) 829-4332

    Type: Mailing

  • 331, Hospital Drive, Lebanon, Laclede County, Missouri, 65536, United States

    SUITE E

    LEBANON, MO 655369217

    Phone: (417) 533-7540

    Fax: (417) 533-6550

    Type: Location

  • 341 HOSPITAL DR

    LEBANON, MO 655369217

    Phone: (417) 533-6540

    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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (892 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
O20100930085128OPhysician - OptometristMO2023-12-31

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 60677)

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Reviews

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Frequently asked questions

Can I cross-check Mercy Clinic-Lebanon-Eye Specialists using NPI 1649477456?
NPI 1649477456 belongs to Mercy Clinic-Lebanon-Eye Specialists; compare other details if you need extra assurance.
Active or inactive — what applies to Mercy Clinic-Lebanon-Eye Specialists?
You should see Mercy Clinic-Lebanon-Eye Specialists as active in CMS-hosted NPPES data.
How would a patient describe Mercy Clinic-Lebanon-Eye Specialists's focus?
For Mercy Clinic-Lebanon-Eye Specialists, the primary taxonomy reads as Eyewear Supplier. Clinical services aligned with this taxonomy classification.
Where in Illinois is Mercy Clinic-Lebanon-Eye Specialists registered?
Use Chicago, Illinois as the headline location for Mercy Clinic-Lebanon-Eye Specialists here.
Does Mercy Clinic-Lebanon-Eye Specialists accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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