EDYTA H WEPPELMANN (OD) – Optometrist, NPI 1376142828

EDYTA H WEPPELMANN (OD) is a healthcare provider. based in Windermere, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC5875 (FL). The NPI Number for EDYTA H WEPPELMANN (OD) is 1376142828

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
EDYTA H WEPPELMANN (OD)
NPI
1376142828
Phone
(407) 797-3070
Address
13073 OVERSTREET RD
Enumeration Date
25 October 2020
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
3527447002
Graduation Year
2020 (6 years ago)
PAC ID
8325450596
Group Practice PAC ID
4385678747
Professional Enrollment ID
I20201211000421
Address ID
FL327576711MO17560441X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for EDYTA H WEPPELMANN (OD)

  • 13073 OVERSTREET RD

    WINDERMERE, FL 347866602

    Phone: (407) 797-3070

    Type: Mailing

  • 400 N BUMBY AVE

    ORLANDO, FL 328036028

    Phone: (407) 893-6222

    Fax: (407) 896-4200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $235.

Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.

Last reported payment date: 2024-09-16 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$235

General + Research + Ownership

Payments

6

Total payment records

General Amount

$235

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-16

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: 2020-12-11

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
I20201211000421IOptometryFLTBD

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
92083Exam of visual field with extended testing187167$0
92014Established patient complete exam of visual system164164$0
99214Established patient office or other outpatient visit, 30-39 minutes151121$0
92133Imaging of optic nerve145142$0
99213Established patient office or other outpatient visit, 20-29 minutes114104$0
View full utilization report →

Insurance plans in this area (ZIP 34786)

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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: 4385678747View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Can I cross-check EDYTA H WEPPELMANN (OD) using NPI 1376142828?
NPI 1376142828 belongs to EDYTA H WEPPELMANN (OD); compare other details if you need extra assurance.
Would EDYTA H WEPPELMANN (OD) appear as active to a payer?
You can treat EDYTA H WEPPELMANN (OD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for EDYTA H WEPPELMANN (OD)?
At a glance, EDYTA H WEPPELMANN (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with EDYTA H WEPPELMANN (OD)?
Directory geography for EDYTA H WEPPELMANN (OD) centers on Windermere, Florida.
When was this NPI issued?
Enumeration for EDYTA H WEPPELMANN (OD) is noted as October 25, 2020 where the registry provides it.

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