DR. CAITLYN DECLUE (OD) – Optometrist, NPI 1205569068

DR. CAITLYN DECLUE (OD) is a healthcare provider. based in Little rock, Arkansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2849 (AR). The NPI Number for DR. CAITLYN DECLUE (OD) is 1205569068

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAITLYN DECLUE (OD)
NPI
1205569068
Phone
(501) 224-5658
Address
201 EXECUTIVE CT STE A
Enumeration Date
7 July 2022
Last Update Date
7 July 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5012245658
Graduation Year
2022 (4 years ago)
PAC ID
7618353343
Group Practice PAC ID
3476535121
Professional Enrollment ID
I20221004002656
Address ID
AR721172652NO4104XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

422 OPTOMETRY in AR

Provider Addresses for DR. CAITLYN DECLUE (OD)

  • 201 EXECUTIVE CT STE A

    LITTLE ROCK, AR 722054536

    Phone: (501) 224-5658

    Type: Mailing

  • 201 EXECUTIVE CT UNIT A

    LITTLE ROCK, AR 722054536

    Phone: (501) 224-5658

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,696.

Total Amount is formed as General ($1,696) + Research ($0) + Ownership ($0) = $1,696.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($385).

Total Amount

$1,696

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,696

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-04

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
I20221004002656IOptometryARTBD

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 system240225$0
99213Established patient office or other outpatient visit, 20-29 minutes147114$0
92004New patient complete exam of visual system7474$0
92134Imaging of retina5350$0
92133Imaging of optic nerve2524$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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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: 3476535121View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR
-AR
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. CAITLYN DECLUE (OD)'s NPI?
Yes. DR. CAITLYN DECLUE (OD) is listed with NPI 1205569068 in the public NPI dataset.
Is DR. CAITLYN DECLUE (OD) listed as active for patients and plans?
The listing shows DR. CAITLYN DECLUE (OD) as active in the NPI system.
What is DR. CAITLYN DECLUE (OD) best known for clinically?
Directory data describes DR. CAITLYN DECLUE (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. CAITLYN DECLUE (OD) serve?
DR. CAITLYN DECLUE (OD)'s listing highlights Little Rock, Arkansas; more addresses can appear in NPPES.
Why does DR. CAITLYN DECLUE (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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