OPTOMETRY & EYEWEAR GALLERY
NPI 1194055525
Health Maintenance Organization in Lisle, IL

Active since January 07, 2010
1712 OGDEN AVE STE D, LISLE, IL 60532(630) 541-3169(630) 541-5140 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Optometry & Eyewear Gallery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTOMETRY & EYEWEAR GALLERY (NPI 1194055525) is a healthcare organization registered as a health maintenance organization in Lisle, Illinois and active in the NPI registry since January 2010. The organization lists Annmarie Surdich-pitra, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1194055525
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameANNMARIE SURDICH-PITRA OD PC
Location Address1712 OGDEN AVE STE DLisle, IL 60532-1230
Mailing Address1712 Ogden Ave Ste DLisle, IL 60532-1230 · (630) 541-3169 · Fax (630) 541-5140
Fax(630) 541-5140
Organization SubpartNo
Authorized OfficialAnnmarie Surdich-pitraOptometrist · (630) 541-3169
Enumeration DateJanuary 7, 2010
Last NPPES UpdateSeptember 16, 2010
✔ NPI 1194055525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License✔ Licensed in IL · 047935871
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
1712 OGDEN AVE STE D, Lisle, IL 60532

Other Names 1

Doing Business AsOptometry & Eyewear Gallery

Other Identifiers 1

Medicare PINIL3604IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optometry & Eyewear Gallery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Optometry & Eyewear Gallery, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1427165885
1712 OGDEN AVE STE D
Lisle, IL 60532
(630) 541-3169
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1750720702
6233 CERMAK RD
Berwyn, IL 60402
(708) 749-2020
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annmarie Surdich-Pitra Od PC's NPI number?

The NPI number for Annmarie Surdich-Pitra Od PC is 1194055525. It was assigned to this organization in the NPPES registry on January 7, 2010. The provider is doing business as Optometry & Eyewear Gallery.

Where is Annmarie Surdich-Pitra Od PC located?

Annmarie Surdich-Pitra Od PC is located at 1712 Ogden Ave Ste D, Lisle, IL 60532. The listed phone number is (630) 541-3169.

What is Annmarie Surdich-Pitra Od PC's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Is Annmarie Surdich-Pitra Od PC enrolled in Medicare?

Yes. Annmarie Surdich-Pitra Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Annmarie Surdich-Pitra Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Annmarie Surdich-Pitra Od PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Annmarie Surdich-Pitra Od PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Annmarie Surdich-Pitra Od PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annmarie Surdich-Pitra Od PC was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.