WANDERLUST EYECARE, P.C. – Optometrist, NPI 1760971220

WANDERLUST EYECARE, P.C. is a healthcare provider. based in Northfield, Illinois. specializing in Optometrist. The organization holds a License No. 046010799 (IL). The NPI Number for WANDERLUST EYECARE, P.C. is 1760971220

Main info

Organization
Name
WANDERLUST EYECARE, P.C.
NPI
1760971220
Phone
(847) 787-1187
Address
1745 ORCHARD LN
Authorized Official
DR. FAYE THERESE P. GAMBOA PRESIDENT/OWNER OD
Enumeration Date
9 May 2018
Last Update Date
17 July 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for WANDERLUST EYECARE, P.C.

  • 1745, Orchard Lane, Northfield, New Trier Township, Cook County, Illinois, 60093, United States

    NORTHFIELD, IL 600933432

    Phone: (847) 787-1187

    Fax: (847) 789-7181

    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: 2019-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (618 days ago).

Enrollment records

1

Earliest due date

2024-09-30

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
O20190909002072OClinic/Group PracticeIL2024-09-30

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60093)

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Reviews

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Frequently asked questions

What NPI should I save for WANDERLUST EYECARE, P.C.?
Save NPI 1760971220 if you need a stable reference for WANDERLUST EYECARE, P.C..
Is WANDERLUST EYECARE, P.C.'s NPI currently valid?
The extract we use shows WANDERLUST EYECARE, P.C. as active.
Does WANDERLUST EYECARE, P.C. list a primary specialty?
If you are matching referrals, note Optometrist for WANDERLUST EYECARE, P.C.. Clinical services aligned with this taxonomy classification.
What location shows for WANDERLUST EYECARE, P.C.?
We surface Northfield, Illinois for WANDERLUST EYECARE, P.C. based on available NPPES addresses.
What if Northfield, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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