SAMUEL ADAM GRUSZKA – Optometrist, NPI 1134968167
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
Provider Addresses for SAMUEL ADAM GRUSZKA
6133 Central Ave
St Petersburg, FL 337108529
Phone: (727) 344-3008
Type: Location
601 S Belcher Rd
Clearwater, FL 337646301
Phone: (727) 266-2393
Fax: (727) 266-2330
Type: Location
11925 Sheldon Rd
Tampa, FL 336263644
Phone: (813) 792-0444
Type: Location
501 N Howard Ave Ste 100
Tampa, FL 336061213
Phone: (813) 253-2727
Type: Location
3220 N McMullen Booth Rd
Clearwater, FL 337612012
Phone: (727) 723-8706
Type: Location
601 S BELCHER RD
CLEARWATER, FL 337646301
Phone: (727) 266-2393
Fax: (727) 266-2330
Type: Mailing
148 13TH ST SW
LARGO, FL 337703127
Phone: (813) 253-2727
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Alcon Vision LLC ($140).
Total Amount
$180
General + Research + Ownership
Payments
3
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $140 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $23 |
| Bausch & Lomb Americas Inc. | $18 |
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: 2024-09-09
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 |
|---|---|---|---|---|
| I20240909000090 | I | Optometry | FL | 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 33710)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O P H T H A L M O L O G Y | FL | |
| - | FL | |
| - | FL | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| Physician Assistant | FL | |
| O P T O M E T R Y | FL |
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