DR. JOHN KUDRYK (O.D.) – Optometrist, NPI 1376500975

DR. JOHN KUDRYK (O.D.) is a healthcare provider. based in Clearwater, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1664 (FL). The NPI Number for DR. JOHN KUDRYK (O.D.) is 1376500975

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN KUDRYK (O.D.)
NPI
1376500975
Phone
(813) 731-3276
Address
14775 FEATHER COVE RD
Enumeration Date
27 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8132656940
Graduation Year
1980 (46 years ago)
PAC ID
5698786564
Group Practice PAC ID
0547368995
Professional Enrollment ID
I20060508000480
Address ID
FL336132752TA3242XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. JOHN KUDRYK (O.D.)

  • 14775 FEATHER COVE RD

    CLEARWATER, FL 337623018

    Phone: (813) 731-3276

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-05-08

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
I20060508000480IOptometryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33762)

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Provider's Procedures

DR. JOHN KUDRYK (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92083Measurement of field of vision during daylight conditions1616

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: 0547368995View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
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 YTN

Reviews

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Frequently asked questions

What is the registry number for DR. JOHN KUDRYK (O.D.)?
The registry entry for DR. JOHN KUDRYK (O.D.) shows NPI 1376500975.
Should I treat DR. JOHN KUDRYK (O.D.) as an active provider?
Patients and plans typically see DR. JOHN KUDRYK (O.D.) as active in the national extract.
Which specialty label fits DR. JOHN KUDRYK (O.D.)?
NPPES ties DR. JOHN KUDRYK (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JOHN KUDRYK (O.D.)?
The directory associates DR. JOHN KUDRYK (O.D.) with Clearwater, Florida. Check all listed addresses for suites or satellite offices.
Who maintains DR. JOHN KUDRYK (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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