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DR. JAMES A. VITALE O.D.
NPI 1609962570
Optometrist in Addison, IL

Active since October 05, 2006PECOS Enrolled
0/100
CMS Quality Rating
1600 W LAKE ST, UNIT 106, ADDISON, IL 60101(630) 773-9410(630) 773-9473 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James A. Vitale O.d. NPPES

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

DR. JAMES A. VITALE O.D. (NPI 1609962570) is an individual optometrist in Addison, Illinois, licensed in Illinois (046007948) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1986).

NPPES Registry Identity

NPI1609962570
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES A. VITALECredential: O.D.
Location Address1600 W LAKE ST, UNIT 106Addison, IL 60101-1822
Mailing Address1600 W Lake St, Unit 106Addison, IL 60101-1822 · (630) 773-9410 · Fax (630) 773-9473
Phone(630) 773-9410
Fax(630) 773-9473
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1986
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 21, 2008
✔ NPI 1609962570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046007948
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1600 W LAKE ST, Addison, IL 60101
Open in Google Maps ↗

Other Identifiers 5

Other364078970IL · Tax Id
Medicare NSC5827650001IL
Medicare UPINU54317IL
Other02232964IL · Blue Cross Blue Shield
Medicare ID-Type Unspecified356540IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James A. Vitale O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426953472
PECOS Enrollment IDI20031203000275
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Vitale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

James A Vitale O.D., P.C.
Same address
Optometrist
1600 W LAKE ST, SUITE 106
Addison, IL 60101
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: James A Vitale Od PC
NPI 1184978553 (630) 773-9410

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
3,060 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
481 services361 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
434 services384 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
121 services116 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
93 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES A VITALE O.D., P.C.
Optometrist
1600 W LAKE ST, SUITE 106
ADDISON, IL 60101
Dupage County (630) 773-9410

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 James Vitale's NPI number?

The NPI number for James Vitale is 1609962570. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is James Vitale located?

James Vitale practices at 1600 W Lake St Unit 106, Addison, IL 60101. The listed phone number is (630) 773-9410.

What is James Vitale's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is James Vitale enrolled in Medicare?

Yes. James Vitale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Vitale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Vitale reassigns Medicare benefits to James A Vitale O.D., P.C. (Addison, 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 James Vitale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Vitale 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 10 other insurers list James Vitale 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 James Vitale was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.