DR. LYNETTE R DZIUK (OD) – Optometrist, NPI 1629033527
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
146 OPTOMETRY in AK
Provider Addresses for DR. LYNETTE R DZIUK (OD)
3449 E Rezanof Dr
Kodiak, AK 996156952
Phone: (907) 486-9800
Fax: (907) 486-9808
Type: Location
Warm Springs Post Office, 240, Francisco Lane, Fremont Town Center, Warm Springs District, Fremont, Alameda County, California, 94539, United States
WARM SPRINGS, OR 977611209
Phone: (541) 553-2474
Type: Mailing
1270 KOT NUM RD
WARM SPRINGS, OR 97761
Phone: (541) 553-2474
Type: Location
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: 2003-12-26
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 |
|---|---|---|---|---|
| I20031226000171 | I | Optometry | TX | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 71 | 70 | $0 |
| 92004 | New patient complete exam of visual system | 34 | 34 | $0 |
| 92250 | Photography of the retina | 34 | 33 | $0 |
| 92012 | Established patient problem focused exam of visual system | 22 | 22 | $0 |
| 92133 | Imaging of optic nerve | 16 | 15 | $0 |
Insurance plans in this area (ZIP 99615)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | OR | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 22 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| Physician Assistant | AK | |
| - | AK | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| - | AK | |
| Physical Therapist In Private Practice | HI | |
| Nurse Practitioner | AK |
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