DR. PAUL F. VANDIVER (O.D.) – Optometrist, NPI 1750356762
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
619 OPTOMETRY in AL
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Provider Addresses for DR. PAUL F. VANDIVER (O.D.)
US Post Office, Trussville, Watterson Curve, Trussville, Jefferson County, Alabama, 35173, United States
TRUSSVILLE, AL 351736102
Phone: (205) 661-2080
Fax: (205) 661-2085
Type: Mailing
4929, University Drive Northwest, Huntsville, Madison County, Alabama, 35816, United States
SUITE F
HUNTSVILLE, AL 358161862
Phone: (256) 964-2020
Fax: (256) 830-5239
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $504.
Total Amount is formed as General ($504) + Research ($0) + Ownership ($0) = $504.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABBVIE INC. ($96).
Total Amount
$504
General + Research + Ownership
Payments
19
Total payment records
General Amount
$504
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $96 |
| BIOTISSUE HOLDINGS, INC. | $93 |
| Optos, Inc. | $63 |
| Tarsus Pharmaceuticals, Inc. | $60 |
| Alcon Vision LLC | $41 |
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: 2005-07-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050729000449 | I | Optometry | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92250 | Photography of the retina | 215 | 212 | $0 |
| 92014 | Established patient complete exam of visual system | 132 | 131 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 50 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 30 | 16 | $0 |
| 92004 | New patient complete exam of visual system | 30 | 30 | $0 |
Insurance plans in this area (ZIP 35173)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| - | AL |
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