DR. DEREK ALEXANDER RICHARDSON (OD) – Optometrist, NPI 1477809697

DR. DEREK ALEXANDER RICHARDSON (OD) is a healthcare provider. based in Sarasota, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC5098 (FL). The NPI Number for DR. DEREK ALEXANDER RICHARDSON (OD) is 1477809697

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK ALEXANDER RICHARDSON (OD)
NPI
1477809697
Phone
(941) 351-1806
Address
101 N Cattlemen Rd
Enumeration Date
25 July 2012
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419262020
Graduation Year
2012 (14 years ago)
PAC ID
6901332832
Group Practice PAC ID
9830625763
Professional Enrollment ID
I20241216001063
Address ID
FL342332379SA3900XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. DEREK ALEXANDER RICHARDSON (OD)

  • 101 N Cattlemen Rd

    Sarasota, FL 342434700

    Phone: (941) 351-1806

    Type: Location

  • 4110 ROCKY FORK TER

    ELLENTON, FL 342227233

    Phone: (407) 454-1164

    Type: Mailing

  • 10000 BAY PINES BLVD

    BAY PINES, FL 33744

    Phone: (727) 398-6661

    Type: Location

  • 3900 CLARK RD STE P1

    SARASOTA, FL 342332379

    Phone: (941) 926-2020

    Fax: (941) 926-2021

    Type: Mailing

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: 2024-12-16

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
I20241216001063IOptometryFLTBD

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 34243)

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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: 9830625763View 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

Can I use this page to confirm DR. DEREK ALEXANDER RICHARDSON (OD)'s NPI?
Yes. DR. DEREK ALEXANDER RICHARDSON (OD) is listed with NPI 1477809697 in the public NPI dataset.
Does CMS list DR. DEREK ALEXANDER RICHARDSON (OD) as active?
Yes — DR. DEREK ALEXANDER RICHARDSON (OD) is active in the NPI listing used on this page.
What is DR. DEREK ALEXANDER RICHARDSON (OD)'s specialty?
The listing groups DR. DEREK ALEXANDER RICHARDSON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. DEREK ALEXANDER RICHARDSON (OD) list a practice location?
Patients near Sarasota, Florida may find DR. DEREK ALEXANDER RICHARDSON (OD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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