CAROLINA RUIZ – Optometrist, NPI 1104404201
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,909 OPTOMETRY in CA
Provider Addresses for CAROLINA RUIZ
4052 MARATHON ST
LOS ANGELES, CA 900293604
Phone: (786) 420-0516
Type: Mailing
11301 WILSHIRE BLVD
LOS ANGELES, CA 900731003
Phone: (310) 478-3711
Type: Location
427 S MANHATTAN PL APT 201
LOS ANGELES, CA 900205031
Phone: (786) 420-0516
Type: Mailing
1127 WILSHIRE BLVD STE 1600
LOS ANGELES, CA 900174007
Phone: (213) 250-5333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $575.
Total Amount is formed as General ($575) + Research ($0) + Ownership ($0) = $575.
Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Alcon Vision LLC ($129).
Total Amount
$575
General + Research + Ownership
Payments
23
Total payment records
General Amount
$575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $129 |
| ABBVIE INC. | $108 |
| Dompe US, Inc. | $93 |
| Tarsus Pharmaceuticals, Inc. | $84 |
| Sun Pharmaceutical Industries Inc. | $58 |
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: 2022-06-20
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 |
|---|---|---|---|---|
| I20220620001820 | I | Optometry | CA | 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 |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 27 | 25 | $0 |
| 92134 | Imaging of retina | 22 | 11 | $0 |
Insurance plans in this area (ZIP 90029)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| - | CA | |
| G A S T R O E N T E R O L O G Y | CA | |
| - | CA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease | MD | |
| - | CA | |
| O P T O M E T R Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| Orthopedic Surgery | CA | |
| Pulmonary Disease, Internal Medicine | UT |
Reviews
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