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WARRENVILLE EYECARE LLC
NPI 1457696577
Ophthalmology in Warrenville, IL

Active since November 29, 2012CLIA 14D2222157 · Waiver
2S631 RTE 59, WARRENVILLE, IL 60555(630) 393-7100 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Warrenville Eyecare Llc NPPES

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

WARRENVILLE EYECARE LLC (NPI 1457696577) is a healthcare organization registered as an ophthalmology in Warrenville, Illinois and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Lisa Nijm, Owner, as its authorized official.

NPPES Registry Identity

NPI1457696577
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameWARRENVILLE EYECARE LLC
Location Address2S631 RTE 59Warrenville, IL 60555-1441
Mailing Address2s631 Rte 59Warrenville, IL 60555-1441
Phone(630) 393-7100
Organization SubpartNo
Authorized OfficialLisa NijmOwner · (630) 393-7100
Enumeration DateNovember 29, 2012
Last NPPES UpdateDecember 13, 2016
✔ NPI 1457696577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 036126563
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2S631 RTE 59, Warrenville, IL 60555
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Other Identifiers 1

Medicare UPIN1427260975

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Warrenville Eyecare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Warrenville Eyecare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Nijm, MD
Ophthalmology
NPI 1427260975
1025 S 6TH ST
Springfield, IL 62703
(217) 528-7541
✔ PECOS✔ Accepts Medicare160 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2222157

Warrenville Eyecare · Warrenville, IL
Active · expires Apr 26, 2027
CLIA Number14D2222157
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorLisa M. Nijm
Laboratory Phone(630) 393-7100
Laboratory LocationWarrenville Eyecare2s631 State Route 59 - Ste A, Warrenville, IL 60555
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Warrenville Eyecare LLC's NPI number?

The NPI number for Warrenville Eyecare LLC is 1457696577. It was assigned to this organization in the NPPES registry on November 29, 2012.

Where is Warrenville Eyecare LLC located?

Warrenville Eyecare LLC is located at 2s631 Rte 59, Warrenville, IL 60555. The listed phone number is (630) 393-7100.

What is Warrenville Eyecare LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Warrenville Eyecare LLC enrolled in Medicare?

Yes. Warrenville Eyecare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Warrenville Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Warrenville Eyecare 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Warrenville Eyecare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2222157) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Warrenville Eyecare LLC was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.