DR. JASON WALLACE (OD) – Optometrist, NPI 1689751166
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,056 OPTOMETRY in FL
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Provider Addresses for DR. JASON WALLACE (OD)
502, Celebration Avenue, Celebration Village, Celebration, Osceola County, Florida, 34747, United States
CELEBRATION, FL 347474687
Phone: (407) 566-8505
Fax: (407) 566-8253
Type: Location
1921, Varick Way, Legacy Park, Casselberry, Seminole County, Florida, 32707, United States
CASSELBERRY, FL 327072410
Phone: (407) 637-9621
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $197.
Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.
Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($143).
Total Amount
$197
General + Research + Ownership
Payments
8
Total payment records
General Amount
$197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $143 |
| CooperVision Inc. | $30 |
| Bausch & Lomb Americas Inc. | $24 |
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: 2009-02-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090212000318 | I | Optometry | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 85 | 85 | $0 |
| 92083 | Exam of visual field with extended testing | 47 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 34 | $0 |
| 92133 | Imaging of optic nerve | 37 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 21 | $0 |
Insurance plans in this area (ZIP 34747)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL |
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