EVAN MICHAEL CRISCIO (OD) – Optometrist, NPI 1093294662

EVAN MICHAEL CRISCIO (OD) is a healthcare provider. based in New smyrna beach, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC5583 (FL). The NPI Number for EVAN MICHAEL CRISCIO (OD) is 1093294662

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
EVAN MICHAEL CRISCIO (OD)
NPI
1093294662
Phone
(386) 957-3715
Address
424 Luna Bella Ln Ste 127
Enumeration Date
14 August 2018
Last Update Date
17 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864926999
Graduation Year
2018 (8 years ago)
PAC ID
6103163936
Group Practice PAC ID
4385701903
Professional Enrollment ID
I20190131002603
Address ID
FL321293519PO3740XAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for EVAN MICHAEL CRISCIO (OD)

  • 424 Luna Bella Ln Ste 127

    New Smyrna Beach, FL 321684685

    Phone: (386) 957-3715

    Fax: (386) 424-1401

    Type: Location

  • Ridgewood Avenue, Edgewater, Volusia County, Florida, 32141, United States

    EDGEWATER, FL 321417535

    Phone: (386) 424-1422

    Fax: (386) 424-1401

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($55).

Total Amount

$118

General + Research + Ownership

Payments

7

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2019-01-31

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
I20190131002603IOptometryFLTBD

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
92014Established patient complete exam of visual system142138$0
99213Established patient office or other outpatient visit, 20-29 minutes11183$0
92133Imaging of optic nerve5451$0
92004New patient complete exam of visual system4242$0
92083Exam of visual field with extended testing2524$0
View full utilization report →

Insurance plans in this area (ZIP 32168)

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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: 4385701903View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What identifier follows EVAN MICHAEL CRISCIO (OD) across health systems?
The NPI 1093294662 uniquely identifies EVAN MICHAEL CRISCIO (OD) in U.S. healthcare data.
Is EVAN MICHAEL CRISCIO (OD)'s NPI status active today?
Active status means EVAN MICHAEL CRISCIO (OD)'s NPI record is not deactivated in the public file.
Which specialty label fits EVAN MICHAEL CRISCIO (OD)?
NPPES ties EVAN MICHAEL CRISCIO (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit EVAN MICHAEL CRISCIO (OD) in New Smyrna Beach, Florida?
For routing, start with New Smyrna Beach, Florida for EVAN MICHAEL CRISCIO (OD), then verify phone and hours locally.
Can I export EVAN MICHAEL CRISCIO (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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