ANN-MARIE COLLEEN CONNOLLY (OD) – Optometrist, NPI 1942724893

ANN-MARIE COLLEEN CONNOLLY (OD) is a healthcare provider. based in Jacksonville, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC5445 (FL). The NPI Number for ANN-MARIE COLLEEN CONNOLLY (OD) is 1942724893

Main info

Female
9 Years Of Experience
Name
ANN-MARIE COLLEEN CONNOLLY (OD)
NPI
1942724893
Phone
Not provided
Address
11406 SAN JOSE BLVD STE 1
Enumeration Date
2 August 2017
Last Update Date
2 August 2017

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9043638282
Graduation Year
2017 (9 years ago)
PAC ID
3779858378
Group Practice PAC ID
6800936360
Professional Enrollment ID
I20171007000284
Address ID
FL322560743JA10300BLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for ANN-MARIE COLLEEN CONNOLLY (OD)

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

    JACKSONVILLE, FL 322237953

    Phone:

    Type: Mailing

  • Southside Boulevard, Azalea Terrace, Killarney Shores, Jacksonville, Duval County, Florida, 32256, United States

    JACKSONVILLE, FL 322560743

    Phone: (904) 363-8282

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $601.

Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($275).

Total Amount

$601

General + Research + Ownership

Payments

15

Total payment records

General Amount

$601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-10-07

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
I20171007000284IOptometryFLTBD

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
92250Photography of the retina127126$0
92014Established patient complete exam of visual system6464$0
92004New patient complete exam of visual system6262$0
View full utilization report →

Insurance plans in this area (ZIP 32223)

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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: 6800936360View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Does ANN-MARIE COLLEEN CONNOLLY (OD) have a public NPI I can cite?
Public records show ANN-MARIE COLLEEN CONNOLLY (OD) under NPI 1942724893.
Should I treat ANN-MARIE COLLEEN CONNOLLY (OD) as an active provider?
Patients and plans typically see ANN-MARIE COLLEEN CONNOLLY (OD) as active in the national extract.
What services align with ANN-MARIE COLLEEN CONNOLLY (OD)'s listing?
ANN-MARIE COLLEEN CONNOLLY (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANN-MARIE COLLEEN CONNOLLY (OD)?
ANN-MARIE COLLEEN CONNOLLY (OD) is associated with Jacksonville, Florida in the same public data insurers reference.
Who maintains ANN-MARIE COLLEEN CONNOLLY (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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