Advanced Eyecare of Carlinville – Optometrist, NPI 1851417513

Advanced Eyecare of Carlinville is a healthcare provider. based in Carlinville, Illinois. specializing in Optometrist. The organization holds a License No. 046006408 (IL). The NPI Number for Advanced Eyecare of Carlinville is 1851417513

Main info

Organization
Name
Advanced Eyecare of Carlinville
NPI
1851417513
Phone
(217) 854-3173
Address
615 N BROAD ST
Authorized Official
DR. KEITH HEDRICK CEO
Enumeration Date
22 March 2007
Last Update Date
18 April 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness80
Years active:19State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for Advanced Eyecare of Carlinville

  • 615 N BROAD ST

    CARLINVILLE, IL 626261020

    Phone: (217) 854-3173

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 2024-04-30 (775 days ago).

Enrollment records

1

Earliest due date

2024-04-30

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
O20100930051307OPhysician - OptometristIL2024-04-30

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 62626)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Advanced Eyecare of Carlinville?
Advanced Eyecare of Carlinville — NPI 1851417513 — is the standard way to identify this listing.
Is Advanced Eyecare of Carlinville still practicing?
Advanced Eyecare of Carlinville is currently listed as active in the public NPI registry.
What is Advanced Eyecare of Carlinville best known for clinically?
Directory data describes Advanced Eyecare of Carlinville with Optometrist. Clinical services aligned with this taxonomy classification.
Where is Advanced Eyecare of Carlinville based?
Advanced Eyecare of Carlinville is tied to Carlinville, Illinois in the data we show; additional addresses may exist on the full record.
Why does Advanced Eyecare of Carlinville have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

615, North Broad Street, Carlinville, Macoupin County, Illinois, 62626, United States
NPI: 1871590331
615, North Broad Street, Carlinville, Macoupin County, Illinois, 62626, United States
NPI: 1013914571

JOHN A LAPP (OD)

Optometrist
300, North Broad Street, Carlinville, Macoupin County, Illinois, 62626, United States
NPI: 1669574562
300, North Broad Street, Carlinville, Macoupin County, Illinois, 62626, United States
NPI: 1841392768
300 N BROAD ST
NPI: 1518241637
300 N BROAD ST
NPI: 1578803011
300 N BROAD ST
NPI: 1619595352
270 N BROAD ST
NPI: 1417635137