MR. STEPHEN M PULLEN (OD) – Optometrist, NPI 1801853296

MR. STEPHEN M PULLEN (OD) is a healthcare provider. based in Ponte vedra beach, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC3511 (FL). The NPI Number for MR. STEPHEN M PULLEN (OD) is 1801853296

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. STEPHEN M PULLEN (OD)
NPI
1801853296
Phone
(904) 280-9000
Address
120 A1A N STE 101
Enumeration Date
28 April 2006
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9042809000
Graduation Year
1995 (31 years ago)
PAC ID
5193705275
Group Practice PAC ID
7719031434
Professional Enrollment ID
I20040728001187
Address ID
FL320826626PO120XXA1AX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for MR. STEPHEN M PULLEN (OD)

  • 120 A1A N STE 101

    PONTE VEDRA BEACH, FL 320826626

    Phone: (904) 280-9000

    Fax: (904) 280-4448

    Type: Location

  • San Jose Boulevard, Lakewood, Jacksonville, Duval County, Florida, 32217, United States

    JACKSONVILLE, FL 32223

    Phone: (904) 262-2249

    Fax: (904) 268-8283

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($47).

Total Amount

$168

General + Research + Ownership

Payments

7

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

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: 2004-07-28

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
I20040728001187IOptometryFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes120116$0
99214Established patient office or other outpatient visit, 30-39 minutes2424$0
92133Imaging of optic nerve1212$0
View full utilization report →

Insurance plans in this area (ZIP 32082)

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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: 7719031434View full group profile

Reviews

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Frequently asked questions

Can I cross-check MR. STEPHEN M PULLEN (OD) using NPI 1801853296?
NPI 1801853296 belongs to MR. STEPHEN M PULLEN (OD); compare other details if you need extra assurance.
Is there an active status for MR. STEPHEN M PULLEN (OD)?
For scheduling context, MR. STEPHEN M PULLEN (OD) is shown as active in the registry.
What expertise is attributed to MR. STEPHEN M PULLEN (OD)?
MR. STEPHEN M PULLEN (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is MR. STEPHEN M PULLEN (OD) associated with Ponte Vedra Beach?
Public fields place MR. STEPHEN M PULLEN (OD) around Ponte Vedra Beach, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for MR. STEPHEN M PULLEN (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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