LAURA JANKIPRASAD (O.D.) – Optometrist, NPI 1073048385

LAURA JANKIPRASAD (O.D.) is a healthcare provider. based in Palm coast, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC5395 (FL). The NPI Number for LAURA JANKIPRASAD (O.D.) is 1073048385

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
LAURA JANKIPRASAD (O.D.)
NPI
1073048385
Phone
(386) 237-4059
Address
53 Perkins Ln
Enumeration Date
24 April 2017
Deactivation Date
2 August 2019
Reactivation Date
21 August 2019
Last Update Date
21 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042858448
Graduation Year
2017 (9 years ago)
PAC ID
9830455138
Group Practice PAC ID
1254392665
Professional Enrollment ID
I20171101003326
Address ID
FL320827232PO150XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for LAURA JANKIPRASAD (O.D.)

  • 53 Perkins Ln

    Palm Coast, FL 321647456

    Phone: (386) 237-4059

    Type: Location

  • 1680 Southside Blvd Ste 100

    Jacksonville, FL 322161924

    Phone: (904) 722-2020

    Type: Location

  • 7077, Normandy Boulevard, Lackawanna, Jacksonville, Duval County, Florida, 32205, United States

    JACKSONVILLE, FL 322056279

    Phone: (904) 781-7717

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $942.

Total Amount is formed as General ($942) + Research ($0) + Ownership ($0) = $942.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($374).

Total Amount

$942

General + Research + Ownership

Payments

27

Total payment records

General Amount

$942

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2017-11-01

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
I20171101003326IOptometryFLTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes2626$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 32164)

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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: 1254392665View full group profile
NameSpecialtyState
O P T O M E T R YFL
-FL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is LAURA JANKIPRASAD (O.D.)'s NPI number?
LAURA JANKIPRASAD (O.D.)'s NPI is 1073048385 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to LAURA JANKIPRASAD (O.D.)?
You should see LAURA JANKIPRASAD (O.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for LAURA JANKIPRASAD (O.D.)?
At a glance, LAURA JANKIPRASAD (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is LAURA JANKIPRASAD (O.D.) located near Palm Coast?
LAURA JANKIPRASAD (O.D.) currently maps to Palm Coast, Florida in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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