JEFFREY RAY KUCK (OD) – Optometrist, NPI 1225639420

JEFFREY RAY KUCK (OD) is a healthcare provider. based in Cleveland, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003296 (GA). The NPI Number for JEFFREY RAY KUCK (OD) is 1225639420

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY RAY KUCK (OD)
NPI
1225639420
Phone
(706) 219-4444
Address
262 S MAIN ST
Enumeration Date
4 November 2020
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
5698186245
Group Practice PAC ID
2466476270
Professional Enrollment ID
I20201203000033
Address ID
GA305287180CL1801XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for JEFFREY RAY KUCK (OD)

  • 262 S MAIN ST

    CLEVELAND, GA 305281403

    Phone: (706) 219-4444

    Type: Mailing

  • 134 Ansley Drive, Dahlonega, GA 30533

    Ste 300

    Dahlonega, GA 305333053

    Phone: (706) 219-4444

    Type: Location

  • 2855 Jordan Ct

    Alpharetta, GA 300043869

    Phone: (678) 823-4954

    Fax: (678) 393-0746

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $722.

Total Amount is formed as General ($722) + Research ($0) + Ownership ($0) = $722.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($161).

Total Amount

$722

General + Research + Ownership

Payments

26

Total payment records

General Amount

$722

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2020-12-03

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
I20201203000033IOptometryGATBD

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
66984Removal of cataract with insertion of prosthetic lens2,84823$0
92250Photography of the retina289248$0
99213Established patient office or other outpatient visit, 20-29 minutes213132$0
99214Established patient office or other outpatient visit, 30-39 minutes135119$0
92273Measurement of retinal and optic nerve function9376$0
View full utilization report →

Insurance plans in this area (ZIP 30528)

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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: 2466476270View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YGA
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

Is JEFFREY RAY KUCK (OD) listed with a National Provider Identifier?
Yes — JEFFREY RAY KUCK (OD) has NPI 1225639420 on file in the registry.
Is there an active status for JEFFREY RAY KUCK (OD)?
For scheduling context, JEFFREY RAY KUCK (OD) is shown as active in the registry.
What expertise is attributed to JEFFREY RAY KUCK (OD)?
JEFFREY RAY KUCK (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is JEFFREY RAY KUCK (OD) located near Cleveland?
JEFFREY RAY KUCK (OD) currently maps to Cleveland, Georgia in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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