GLENN D PIESCHKE (OD) – Optometrist, NPI 1639139439

GLENN D PIESCHKE (OD) is a healthcare provider. based in Patrick afb, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC2383 (FL). The NPI Number for GLENN D PIESCHKE (OD) is 1639139439

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
GLENN D PIESCHKE (OD)
NPI
1639139439
Phone
(321) 494-8159
Address
1381 S PATRICK DRIVE
Enumeration Date
24 March 2006
Last Update Date
20 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523602301
Graduation Year
1988 (38 years ago)
PAC ID
1850498759
Group Practice PAC ID
2365561073
Professional Enrollment ID
I20070529000242
Address ID
FL347485921LE640XXSTXX403
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

2,056 OPTOMETRY in FL

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Provider Addresses for GLENN D PIESCHKE (OD)

  • 1381 S PATRICK DRIVE

    45TH MEDICAL GROUP ATTN CREDENTIALS OFFICE

    PATRICK AFB, FL 32925

    Phone: (321) 494-8159

    Fax: (321) 494-1378

    Type: Mailing

  • Southwest College Road, Ocala, Marion County, Florida, 34474, United States

    LANGE EYECARE

    OCALA, FL 34474

    Phone: (352) 237-3768

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $711.

Total Amount is formed as General ($711) + Research ($0) + Ownership ($0) = $711.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($136).

Total Amount

$711

General + Research + Ownership

Payments

21

Total payment records

General Amount

$711

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2007-05-29

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
I20070529000242IOptometryFLTBD

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
92014Established patient complete exam of visual system585578$0
92012Established patient problem focused exam of visual system551446$0
92134Imaging of retina320309$0
92133Imaging of optic nerve213207$0
99213Established patient office or other outpatient visit, 20-29 minutes196178$0
View full utilization report →

Insurance plans in this area (ZIP 32925)

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Provider's Procedures

GLENN D PIESCHKE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient560477
OPTOMETRYFL92083Measurement of field of vision during daylight conditions140138
OPTOMETRYFL92134Diagnostic imaging of retina460447

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: 2365561073View full group profile
NameSpecialtyState
-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
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Does GLENN D PIESCHKE (OD) have a public NPI I can cite?
Public records show GLENN D PIESCHKE (OD) under NPI 1639139439.
Should I treat GLENN D PIESCHKE (OD) as an active provider?
Patients and plans typically see GLENN D PIESCHKE (OD) as active in the national extract.
What services align with GLENN D PIESCHKE (OD)'s listing?
GLENN D PIESCHKE (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit GLENN D PIESCHKE (OD) in Patrick Afb, Florida?
For routing, start with Patrick Afb, Florida for GLENN D PIESCHKE (OD), then verify phone and hours locally.
Can I export GLENN D PIESCHKE (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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