MALTISH LORENZO – Ophthalmology Physician, NPI 1760010276
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,665 OPHTHALMOLOGY in CA
Provider Addresses for MALTISH LORENZO
1213 1/2 E 51ST ST
LOS ANGELES, CA 900114262
Phone: (661) 480-8357
Type: Mailing
1000 W CARSON ST
TORRANCE, CA 905022059
Phone: (310) 222-2345
Type: Location
4739 SAWTELLE BLVD
CULVER CITY, CA 902304834
Phone: (661) 480-8357
Type: Mailing
2925 PALO VERDE AVE
LONG BEACH, CA 908151552
Phone: (562) 799-2020
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 $1,215.
Total Amount is formed as General ($1,215) + Research ($0) + Ownership ($0) = $1,215.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($884).
Total Amount
$1,215
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $884 |
| Carl Zeiss Meditec USA, Inc. | $168 |
| Tarsus Pharmaceuticals, Inc. | $34 |
| ABBVIE INC. | $34 |
| Bausch & Lomb Americas Inc. | $22 |
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: 2024-01-26
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 |
|---|---|---|---|---|
| I20240126002162 | I | Ophthalmology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| O P T O M E T R Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | CA | |
| O P T O M E T R Y | CA |
Reviews
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