DR. JOLA RZEGOCKI-O'CONNOR (OD) – Optometrist, NPI 1669417325
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 OPTOMETRY in CT
Provider Addresses for DR. JOLA RZEGOCKI-O'CONNOR (OD)
1156 Boston Post Rd
Old Saybrook, CT 064754405
Phone: (860) 388-2020
Fax: (860) 388-0889
Type: Location
Boston Post Road, Saybrook Manor, Old Saybrook, Middlesex County, Connecticut, 06475, United States
OLD SAYBROOK, CT 064754405
Phone: (860) 388-2020
Fax: (860) 388-0889
Type: Mailing
104 BUCKWALTER PKWY STE 1C
BLUFFTON, SC 299104129
Phone: (843) 757-9588
Fax: (843) 757-9589
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $821.
Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Lumenis BE inc ($357).
Total Amount
$821
General + Research + Ownership
Payments
11
Total payment records
General Amount
$821
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lumenis BE inc | $357 |
| Alcon Vision LLC | $214 |
| Astellas Pharma US Inc | $125 |
| Genentech USA, Inc. | $110 |
| Johnson & Johnson Vision Care, Inc. | $15 |
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: 2022-03-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050208000058 | I | Optometry | CT | TBD |
| I20220316002879 | I | Optometry | SC | 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 | 63 | 63 | $0 |
| 92004 | New patient complete exam of visual system | 37 | 37 | $0 |
| 92250 | Photography of the retina | 28 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 22 | $0 |
Insurance plans in this area (ZIP 06475)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | SC | |
| O P T O M E T R Y | SC |
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