DR. MARISSA IZABEL SOONG (OD) – Optometrist, NPI 1245751742
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPTOMETRY in GA
Provider Addresses for DR. MARISSA IZABEL SOONG (OD)
5505 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 303421713
Phone: (404) 257-0814
Type: Location
261 N Harbin Dr
Stephenville, TX 764012814
Phone: (254) 968-2345
Type: Location
5912 Convair Dr Ste 208
Fort Worth, TX 76109
Phone: (817) 880-7917
Type: Location
5841 RECREATION DR APT 2221
FORT WORTH, TX 761091064
Phone: (432) 664-2507
Type: Mailing
Convair Drive, Fort Worth, Tarrant County, Texas, 76132, United States
FORT WORTH, TX 76109
Phone: (817) 880-7917
Type: Location
11305 CULZEAN CASTLE DR
AUSTIN, TX 787172400
Phone: (432) 664-2507
Type: Mailing
9900 W PARMER LN STE 210
AUSTIN, TX 787174970
Phone: (512) 339-2020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Alcon Vision LLC ($34).
Total Amount
$34
General + Research + Ownership
Payments
1
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $34 |
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: 2018-09-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180925001716 | I | Optometry | TX | TBD |
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.
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 30342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | LA | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | CT | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | KS |
Reviews
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