CINDY NENNIG MACK (OD) – Optometrist, NPI 1356434336

CINDY NENNIG MACK (OD) is a healthcare provider. based in Orange park, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. FL0PC3028 (FL). The NPI Number for CINDY NENNIG MACK (OD) is 1356434336

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
CINDY NENNIG MACK (OD)
NPI
1356434336
Phone
(904) 272-9433
Address
88 BLANDING BLVD
Enumeration Date
2 October 2006
Last Update Date
16 October 2013

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9042729433
Graduation Year
1996 (30 years ago)
PAC ID
7416097605
Group Practice PAC ID
2567620651
Professional Enrollment ID
I20091219000048
Address ID
FL320732601OR88XXXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for CINDY NENNIG MACK (OD)

  • 88 BLANDING BLVD

    ORANGE PARK, FL 320732601

    Phone: (904) 272-9433

    Fax: (904) 272-9433

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $532.

Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Alcon Vision LLC ($302).

Total Amount

$532

General + Research + Ownership

Payments

15

Total payment records

General Amount

$532

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2009-12-19

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
I20091219000048IOptometryFLTBD

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
92250Photography of the retina270254$0
92014Established patient complete exam of visual system160156$0
92004New patient complete exam of visual system9191$0
99213Established patient office or other outpatient visit, 20-29 minutes4738$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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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: 2567620651View 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

How do payers reference CINDY NENNIG MACK (OD)?
For CINDY NENNIG MACK (OD), use NPI 1356434336 as the unique 10-digit identifier.
Active or inactive — what applies to CINDY NENNIG MACK (OD)?
You should see CINDY NENNIG MACK (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for CINDY NENNIG MACK (OD)?
At a glance, CINDY NENNIG MACK (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with CINDY NENNIG MACK (OD)?
Directory geography for CINDY NENNIG MACK (OD) centers on Orange Park, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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