DR. BRENT GANDOLFI O.D.
NPI 1578617783
Optometrist in Gurnee, IL
About Dr. Brent Gandolfi O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRENT GANDOLFI O.D. (NPI 1578617783) is an individual optometrist in Gurnee, Illinois, licensed in Illinois (046007799) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1984).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Brent Gandolfi O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Brent Gandolfi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gurnee, IL 60031
- Reassigned Medicare billing, Illinois enrollment
- 114 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brent Gandolfi's NPI number?
The NPI number for Brent Gandolfi is 1578617783. It was assigned to this individual provider in the NPPES registry on January 23, 2007.
Where is Brent Gandolfi located?
Brent Gandolfi practices at 1475 N Dilleys Rd Ste 4, Gurnee, IL 60031. The listed phone number is (847) 856-3939.
What is Brent Gandolfi's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Brent Gandolfi enrolled in Medicare?
Yes. Brent Gandolfi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Brent Gandolfi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brent Gandolfi reassigns Medicare benefits to Myeyedr Optometry Of Illinois, LLC (Gurnee, IL). The 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 Brent Gandolfi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brent Gandolfi was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Brent Gandolfi, O.D. · NPI 1578617783
Optometrist provider in Gurnee, Illinois. Individual provider, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1578617783 (Entity type: Individual)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046007799 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1475 N DILLEYS RD STE 4, Gurnee, IL 60031-1709
- **Phone:** (847) 856-3939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Myeyedr Optometry Of Illinois, LLC (NPI 1295313203, Gurnee, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 1984
## Record status
- **NPPES last updated:** April 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1578617783) · Data from the CMS NPPES public registry.