Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIRK P PAVLETIC OD PC
NPI 1881962371
Optometrist in Orland Park, IL

Active since December 12, 2011
10739 W 159TH ST, ORLAND PARK, IL 60467(708) 403-7711 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Sep 1, 2026 (2 updates tracked since 2026).

About Kirk P Pavletic Od Pc NPPES

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

KIRK P PAVLETIC OD PC (NPI 1881962371) is a healthcare organization registered as an optometrist in Orland Park, Illinois and active in the NPI registry since December 2011. The organization maintains a secondary practice location in La Grange and lists Luke Edward Witto Neuenfeldt, President, as its authorized official.

NPPES Registry Identity

NPI1881962371
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKIRK P PAVLETIC OD PC
Location Address10739 W 159TH STOrland Park, IL 60467-4531
Mailing Address10739 W 159th StOrland Park, IL 60467-4531 · (708) 403-7711
Organization SubpartNo
Authorized OfficialLuke Edward Witto NeuenfeldtPresident · (708) 403-7711
Enumeration DateDecember 12, 2011
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1881962371 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 · 046-007849
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.
10739 W 159TH ST, Orland Park, IL 60467

Secondary Practice Location 1

Location 1512 W Burlington Ave Ste 106LA Grange, IL 60525-2120 · Phone (708) 403-7711 · Fax (708) 403-7799

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kirk P Pavletic Od Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kirk P Pavletic Od PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Optometry
NPI 1942853700
10739 W 159TH ST
Orland Park, IL 60467
(708) 403-7711
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1679197826
10739 W 159TH ST
Orland Park, IL 60467
(708) 403-7711
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1831269653
10739 W 159TH STREET
Orland Park, IL 60467
(708) 403-7711
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1871319749
10739 W 159TH ST
Orland Park, IL 60467
(708) 543-6970
✔ 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.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Kirk P Pavletic Od PC carries, from the Medicare DMEPOS supplier directory.

Kirk P Pavletic Od PC

DMEPOS supplier · Orland Park, IL
✔

Accepts Medicare assignment

Kirk P Pavletic Od PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20646215
Medicare Participant SinceJanuary 1, 1998
Supplier Location10739 W 159th StOrland Park, IL 60467
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Kirk P Pavletic Od PC's NPI number?

The NPI number for Kirk P Pavletic Od PC is 1881962371. It was assigned to this organization in the NPPES registry on December 12, 2011.

Where is Kirk P Pavletic Od PC located?

Kirk P Pavletic Od PC is located at 10739 W 159th St, Orland Park, IL 60467. The listed phone number is (708) 403-7711.

What is Kirk P Pavletic Od PC's specialty?

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

Is Kirk P Pavletic Od PC enrolled in Medicare?

Yes. Kirk P Pavletic Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kirk P Pavletic Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Kirk P Pavletic Od PC. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kirk P Pavletic Od PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kirk P Pavletic Od PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Kirk P Pavletic Od PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kirk P Pavletic Od PC 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 Kirk P Pavletic Od PC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.