HOMER GLEN VISION SOURCE LLC
NPI 1437486362
Optometrist in Homer Glen, IL
About Homer Glen Vision Source Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOMER GLEN VISION SOURCE LLC (NPI 1437486362) is a healthcare organization registered as an optometrist in Homer Glen, Illinois and active in the NPI registry since November 2009. The organization lists John J. Gardner, Sole Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Homer Glen Vision Source Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Homer Glen Vision Source LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Homer Glen Vision Source LLC's NPI number?
The NPI number for Homer Glen Vision Source LLC is 1437486362. It was assigned to this organization in the NPPES registry on November 13, 2009.
Where is Homer Glen Vision Source LLC located?
Homer Glen Vision Source LLC is located at 15933 S Bell Rd, Homer Glen, IL 60491. The listed phone number is (708) 301-3101.
What is Homer Glen Vision Source LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Homer Glen Vision Source LLC enrolled in Medicare?
Yes. Homer Glen Vision Source LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Homer Glen Vision Source LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Homer Glen Vision Source LLC. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Homer Glen Vision Source LLC 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 Homer Glen Vision Source LLC 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 Homer Glen Vision Source LLC was last updated on November 13, 2009. 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.
# Homer Glen Vision Source Llc · NPI 1437486362
Optometrist organization in Homer Glen, Illinois. Organization record, active in the CMS NPPES registry since November 13, 2009.
## Identity
- **NPI:** 1437486362 (Entity type: Organization)
- **Enumerated:** November 13, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** John Gardner, SOLE MANAGER
## Practice location
- **Address:** 15933 S BELL RD, Homer Glen, IL 60491-6707
- **Phone:** (708) 301-3101 · **Fax:** (708) 301-3141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2009
---
Source: [NPI Profile](https://npiprofile.com/npi/1437486362) · Data from the CMS NPPES public registry.