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FISHER-SWALE-NICHOLSON EYE CENTER SC
NPI 1639277940
Ophthalmology in Bourbonnais, IL

Active since September 20, 2006CLIA 14D2171174 · Waiver
352 BROWN BLVD, BOURBONNAIS, IL 60914(815) 932-2020(815) 937-0060 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Fisher-swale-nicholson Eye Center Sc NPPES

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

FISHER-SWALE-NICHOLSON EYE CENTER SC (NPI 1639277940) is a healthcare organization registered as an ophthalmology in Bourbonnais, Illinois and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Tammy A Wilhoyt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639277940
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameFISHER-SWALE-NICHOLSON EYE CENTER SC
Location Address352 BROWN BLVDBourbonnais, IL 60914-2458
Mailing Address352 Brown BlvdBourbonnais, IL 60914-2458 · (815) 932-2020 · Fax (815) 937-0060
Phone(815) 932-2020
Fax(815) 937-0060
Organization SubpartNo
Authorized OfficialTammy A WilhoytOffice Manager · (815) 932-2020
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 21, 2014
✔ NPI 1639277940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
352 BROWN BLVD, Bourbonnais, IL 60914
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Other Identifiers 2

Medicare PIN947330IL
Medicare NSC0464860001IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fisher-swale-nicholson Eye Center Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20041104000050Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Fisher-Swale-Nicholson Eye Center Sc, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Jerome Swale, M.D.
Ophthalmology
NPI 1669480844
352 BROWN BLVD
Bourbonnais, IL 60914
(815) 932-2020
✔ PECOS✔ Accepts MedicareSame address
Jason Franklin, M.D.
Ophthalmology
NPI 1710371901
352 BROWN BLVD
Bourbonnais, IL 60914
(815) 932-2020
✔ PECOS✔ Accepts MedicareSame address
Ericka Garcia, OD
Optometry
NPI 1487389649
352 BROWN BLVD
Bourbonnais, IL 60914
(815) 932-2020
✔ PECOS✔ Accepts MedicareSame address
Matthew Nicholson, O.D.
Optometry
NPI 1992713309
352 BROWN BLVD
Bourbonnais, IL 60914
(815) 932-2020
✔ PECOS✔ Accepts MedicareSame address
Patricia Zielinski, O.D.
Optometry
NPI 1902288566
352 BROWN BLVD
Bourbonnais, IL 60914
(815) 932-2020
✔ PECOS✔ Accepts MedicareSame address

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 14D2171174

Fisher - Swale - Nicholson Eye Center · Bourbonnais, IL
Active · expires Aug 26, 2027
CLIA Number14D2171174
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorGail Adams
Laboratory Phone(815) 932-2020
Laboratory LocationFisher - Swale - Nicholson Eye Center352 Brown Blvd, Bourbonnais, IL 60914
CLIA data matches this NPI record on: Address 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 Fisher-Swale-Nicholson Eye Center Sc's NPI number?

The NPI number for Fisher-Swale-Nicholson Eye Center Sc is 1639277940. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Fisher-Swale-Nicholson Eye Center Sc located?

Fisher-Swale-Nicholson Eye Center Sc is located at 352 Brown Blvd, Bourbonnais, IL 60914. The listed phone number is (815) 932-2020.

What is Fisher-Swale-Nicholson Eye Center Sc's specialty?

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

Is Fisher-Swale-Nicholson Eye Center Sc enrolled in Medicare?

Yes. Fisher-Swale-Nicholson Eye Center Sc is registered in the Medicare PECOS enrollment system.

When is Fisher-Swale-Nicholson Eye Center Sc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fisher-Swale-Nicholson Eye Center Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Fisher-Swale-Nicholson Eye Center Sc. 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. The largest specialties are Optometry (3) and Ophthalmology (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fisher-Swale-Nicholson Eye Center Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2171174) is associated with this NPI, valid through August 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 Fisher-Swale-Nicholson Eye Center Sc was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.