DR. CHRIS J COFFINI (OD) – Optometrist, NPI 1003866682

DR. CHRIS J COFFINI (OD) is a healthcare provider. based in Conyers, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2780 (WI). The NPI Number for DR. CHRIS J COFFINI (OD) is 1003866682

Main info

Male
27 Years Of Experience
Name
DR. CHRIS J COFFINI (OD)
NPI
1003866682
Phone
(770) 860-1919
Address
1192 DOGWOOD DR SE
Enumeration Date
12 May 2006
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7708601919
Graduation Year
1999 (27 years ago)
PAC ID
2961414628
Group Practice PAC ID
7618968413
Professional Enrollment ID
I20240725000310
Address ID
GA300125454CO1192XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for DR. CHRIS J COFFINI (OD)

  • 1192 DOGWOOD DR SE

    CONYERS, GA 300125454

    Phone: (770) 860-1919

    Type: Location

  • 701, South Church Street, Watertown, Jefferson County, Wisconsin, 53094, United States

    WATERTOWN, WI 530946213

    Phone: (920) 261-9225

    Fax: (920) 261-7010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $193.

Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: CooperVision Inc. ($110).

Total Amount

$193

General + Research + Ownership

Payments

4

Total payment records

General Amount

$193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2024-07-25

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
I20240725000310IOptometryGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30012)

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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: 7618968413View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

How do payers reference DR. CHRIS J COFFINI (OD)?
For DR. CHRIS J COFFINI (OD), use NPI 1003866682 as the unique 10-digit identifier.
Is DR. CHRIS J COFFINI (OD) shown as active in public data?
Registry records indicate DR. CHRIS J COFFINI (OD) maintains an active NPI.
How would a patient describe DR. CHRIS J COFFINI (OD)'s focus?
For DR. CHRIS J COFFINI (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CHRIS J COFFINI (OD)?
Directory geography for DR. CHRIS J COFFINI (OD) centers on Conyers, Georgia.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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