Fof Optical PLLC
NPI 1528873684 · Optometrist · Bourbonnais, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fof Optical PLLC is a Optometrist organization in Bourbonnais, IL (NPI 1528873684).
Provider details
- NPI number
- 1528873684
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Lisa Jeziorny Kerouac, Optometrist(708) 805-7618
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Optical Edge
- Doing business as
- The Optical Edge
Registry dates
- Enumerated
- 2025-02-07
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Frequently asked questions
- What is Fof Optical PLLC's NPI number?
- Fof Optical PLLC's National Provider Identifier (NPI) is 1528873684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fof Optical PLLC?
- Fof Optical PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Fof Optical PLLC located?
- Fof Optical PLLC's practice location on file with NPPES is 372 Larry Power Rd, Bourbonnais, IL 60914-5190.
- What is Fof Optical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fof Optical PLLC is (708) 805-7618.
- Does Fof Optical PLLC accept Medicare?
- Fof Optical PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fof Optical PLLC?
- The authorized official listed on Fof Optical PLLC's NPPES record is Lisa Jeziorny Kerouac, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fof Optical PLLC's NPI active?
- Yes — Fof Optical PLLC's NPI (1528873684) is active in the NPPES registry as of the last update on 2025-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.