Unknown Individual – Optometrist, NPI 1821359274
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
763 SW MAIN BLVD
LAKE CITY, FL 320255791
Phone: (386) 752-1722
Fax: (386) 752-1157
Type: Mailing
4101 EVANS AVE
FORT MYERS, FL 33901
Phone: (239) 939-3456
Fax: (239) 790-2432
Type: Location
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 $204.
Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($113).
Total Amount
$204
General + Research + Ownership
Payments
7
Total payment records
General Amount
$204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $113 |
| BIOTISSUE HOLDINGS, INC. | $58 |
| CooperVision Inc. | $17 |
| Alcon Vision LLC | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 | 223 | 221 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 158 | 105 | $0 |
| 92133 | Imaging of optic nerve | 31 | 25 | $0 |
| 92082 | Exam of visual field with intermediate testing | 30 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 22 | $0 |
Insurance plans in this area (ZIP 32025)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | FL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 39 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL |
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