KEVIN RANDAL GUCK (OD) – Optometrist, NPI 1356064075

KEVIN RANDAL GUCK (OD) is a healthcare provider. based in San clemente, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 35267 (CA). The NPI Number for KEVIN RANDAL GUCK (OD) is 1356064075

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN RANDAL GUCK (OD)
NPI
1356064075
Phone
(949) 489-2218
Address
653 CAMINO DE LOS MARES STE 103
Enumeration Date
20 September 2022
Last Update Date
20 September 2022

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9494892218
Graduation Year
2022 (4 years ago)
PAC ID
0941670533
Group Practice PAC ID
3274541826
Professional Enrollment ID
I20221222001322
Address ID
CA926732808SA653XXMARE500
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

3,909 OPTOMETRY in CA

Provider Addresses for KEVIN RANDAL GUCK (OD)

  • 653 CAMINO DE LOS MARES STE 103

    SAN CLEMENTE, CA 926732808

    Phone: (949) 489-2218

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $1,703.

Total Amount is formed as General ($1,703) + Research ($0) + Ownership ($0) = $1,703.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($607).

Total Amount

$1,703

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,703

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-12-22

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
I20221222001322IOptometryCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 92673)

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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: 3274541826View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
-CA
O P H T H A L M O L O G YCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

What number should I use to identify KEVIN RANDAL GUCK (OD) for billing?
Administrative and clinical systems typically use NPI 1356064075 for KEVIN RANDAL GUCK (OD).
Is KEVIN RANDAL GUCK (OD) currently accepting referrals based on NPI status?
Registry metadata lists KEVIN RANDAL GUCK (OD) as active.
What type of care does KEVIN RANDAL GUCK (OD) provide?
KEVIN RANDAL GUCK (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit KEVIN RANDAL GUCK (OD) in San Clemente, California?
For routing, start with San Clemente, California for KEVIN RANDAL GUCK (OD), then verify phone and hours locally.
Can I export KEVIN RANDAL GUCK (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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