Pearle Vision Express – Optometrist, NPI 1831120088

Pearle Vision Express is a healthcare provider. based in Melrose park, Illinois. specializing in Optometrist. The organization holds a License No. 060005866 (IL). The NPI Number for Pearle Vision Express is 1831120088

Main info

Organization
Name
Pearle Vision Express
NPI
1831120088
Phone
(708) 343-9009
Address
904 W NORTH AVE
Authorized Official
DR. SPENCER PAUL VIDULICH OWNER/DOCTOR O.D.
Enumeration Date
6 July 2006
Last Update Date
18 December 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness80
Years active:19State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for Pearle Vision Express

  • North Avenue, Melrose, Middlesex County, Massachusetts, 01180, United States

    MELROSE PARK, IL 601601520

    Phone: (708) 343-9009

    Fax: (708) 343-9012

    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: 2004-09-20

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
O20040920000257OClinic/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 60160)

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Reviews

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Frequently asked questions

What number should I use to identify Pearle Vision Express for billing?
Administrative and clinical systems typically use NPI 1831120088 for Pearle Vision Express.
Should I treat Pearle Vision Express as an active provider?
Patients and plans typically see Pearle Vision Express as active in the national extract.
What type of care does Pearle Vision Express provide?
Pearle Vision Express's profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Pearle Vision Express?
Pearle Vision Express is associated with Melrose Park, Illinois in the same public data insurers reference.
Can I export Pearle Vision Express's record?
You can download the official NPPES record; we summarize key fields for readability.

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