DR. GLENN D. KUELTZO O.D.
NPI 1740290386
Optometrist in Homer Glen, IL

Q: What is Glenn Kueltzo's NPI number?

The NPI number for Glenn Kueltzo is 1740290386. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Glenn Kueltzo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glenn Kueltzo was last updated on August 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 08, 2006PECOS Enrolled

13231 W 143RD ST, SUITE 101, HOMER GLEN, IL 60491(708) 301-2020(708) 301-0884 Get Directions Write a Review

NPPES record last updated: August 31, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Glenn D. Kueltzo O.d. NPPES

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

DR. GLENN D. KUELTZO O.D. (NPI 1740290386) is an individual optometrist in Homer Glen, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740290386

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GLENN D. KUELTZOCredential: O.D.

Location Address13231 W 143RD ST, SUITE 101Homer Glen, IL 60491-6638

Mailing Address13231 W 143rd St, Suite 101Homer Glen, IL 60491-6638 · (708) 301-2020 · Fax (708) 301-0884

Phone(708) 301-2020

Fax(708) 301-0884

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateAugust 31, 2007

✔ NPI 1740290386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

13231 W 143RD ST, Homer Glen, IL 60491

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Other Identifiers 3

Medicare PINK25047IL

Other0039940592IL · Bcbs Of Illinois

Medicare UPINT37302IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glenn D. Kueltzo O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Glenn Kueltzo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rosin Optical Co. Inc.

Same address

Optometrist

13231 W 143RD ST
Homer Glen, IL 60491

Reassigned Medicare billing, Illinois enrollment
87 clinicians in this Medicare group

NPI 1689130320 (708) 301-2020

Interstate Optical Lbr Inc

7.9 mi

Optician

9612 WILLOW LN
Mokena, IL 60448

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1114965126 (708) 479-6232

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

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.

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.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60491 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.

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.

DR. DENNIS W KIRSCHER O.D.

Optometrist

13231 W 143RD ST, SUITE 101
HOMER GLEN, IL 60491

Will County (708) 301-2020

REDING OPTICS, INC

Eyewear Supplier

13231 W 143RD ST, SUITE 101
HOMER GLEN, IL 60491

Will County (708) 301-2020

ROSIN OPTICAL CO. INC.

Optometrist

13231 W 143RD ST
HOMER GLEN, IL 60491

Will County (708) 301-2020

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 Glenn Kueltzo's NPI number?

The NPI number for Glenn Kueltzo is 1740290386. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Glenn Kueltzo located?

Glenn Kueltzo practices at 13231 W 143rd St Suite 101, Homer Glen, IL 60491. The listed phone number is (708) 301-2020.

What is Glenn Kueltzo's specialty?

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

Is Glenn Kueltzo enrolled in Medicare?

Yes. Glenn Kueltzo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Glenn Kueltzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Kueltzo reassigns Medicare benefits to 2 organizations: Rosin Optical Co. Inc. (Homer Glen, IL) and Interstate Optical Lbr Inc (Mokena, IL). Each 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 Glenn Kueltzo'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 Glenn Kueltzo was last updated on August 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.