DR. RONALD D. MEDLOCK (OD) – Optometrist, NPI 1730271701

DR. RONALD D. MEDLOCK (OD) is a healthcare provider. based in Hoover, Alabama. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. S-587-TA-195 (AL). The NPI Number for DR. RONALD D. MEDLOCK (OD) is 1730271701

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD D. MEDLOCK (OD)
NPI
1730271701
Phone
(205) 560-0477
Address
PO BOX 360064
Enumeration Date
28 September 2006
Last Update Date
15 April 2026

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2059492020
Graduation Year
1985 (41 years ago)
PAC ID
1658555347
Group Practice PAC ID
2769378777
Professional Enrollment ID
I20110405000836
Address ID
AL352353128BI3240XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

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Provider Addresses for DR. RONALD D. MEDLOCK (OD)

  • PO BOX 360064

    HOOVER, AL 352360064

    Phone: (205) 560-0477

    Fax: (205) 560-0477

    Type: Mailing

  • 832, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35211, United States

    BIRMINGHAM, AL 352111320

    Phone: (833) 733-8742

    Fax: (205) 634-5640

    Type: Location

  • PO BOX 59449

    BIRMINGHAM, AL 352599449

    Phone: (833) 733-8742

    Fax: (205) 634-5640

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110405000836IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system4141$0
92250Photography of the retina3635$0
92012Established patient problem focused exam of visual system3125$0
92004New patient complete exam of visual system1717$0
View full utilization report →

Insurance plans in this area (ZIP 35236)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769378777View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P H T H A L M O L O G YAL

Reviews

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Frequently asked questions

Does DR. RONALD D. MEDLOCK (OD) have a public NPI I can cite?
Public records show DR. RONALD D. MEDLOCK (OD) under NPI 1730271701.
Should I treat DR. RONALD D. MEDLOCK (OD) as an active provider?
Patients and plans typically see DR. RONALD D. MEDLOCK (OD) as active in the national extract.
How should patients interpret DR. RONALD D. MEDLOCK (OD)'s specialty?
The extract shows Optometrist for DR. RONALD D. MEDLOCK (OD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. RONALD D. MEDLOCK (OD)?
The directory associates DR. RONALD D. MEDLOCK (OD) with Hoover, Alabama. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. RONALD D. MEDLOCK (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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