DALE E PATRICK (O.D.) – Optometrist, NPI 1396715819

DALE E PATRICK (O.D.) is a healthcare provider. based in Augusta, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. TA1367 (MD). The NPI Number for DALE E PATRICK (O.D.) is 1396715819

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DALE E PATRICK (O.D.)
NPI
1396715819
Phone
(706) 733-0020
Address
3440 Wrightsboro Rd
Enumeration Date
26 January 2006
Last Update Date
25 March 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8037941088
Graduation Year
1977 (49 years ago)
PAC ID
3577887421
Group Practice PAC ID
5092007666
Professional Enrollment ID
I20230118000121
Address ID
SC291694543WE2401XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for DALE E PATRICK (O.D.)

  • 3440 Wrightsboro Rd

    Augusta, GA 309092511

    Phone: (706) 733-0020

    Fax: (706) 733-4498

    Type: Location

  • 3450 WRIGHTSBORO RD STE 1325

    AUGUSTA, GA 309090566

    Phone: (706) 736-9929

    Fax: (706) 736-9967

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Sight Sciences, Inc. ($109).

Total Amount

$170

General + Research + Ownership

Payments

2

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2023-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150123001358IOptometryGATBD
I20230118000121IOptometrySCTBD

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 30909)

Loading plans...

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: 5092007666View full group profile
NameSpecialtyState
O P T O M E T R YNY
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YSC
-SC
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YCT
O P T O M E T R YSC
O P T O M E T R YSC

Reviews

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

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DALE E PATRICK (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DALE E PATRICK (O.D.) uses 1396715819.
Can I rely on DALE E PATRICK (O.D.) being an active provider?
As of the registry snapshot, DALE E PATRICK (O.D.) is marked active.
What is DALE E PATRICK (O.D.)'s specialty?
The listing groups DALE E PATRICK (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DALE E PATRICK (O.D.) based?
DALE E PATRICK (O.D.) is tied to Augusta, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

EXCHANGE EYECARE
NPI: 1821090077
2465, Wrightsboro Road, King Estates, Augusta, Richmond County, Georgia, 30904, United States
NPI: 1770575649
Bobby Jones Expressway, Augusta, Richmond County, Georgia, 30906, United States
NPI: 1295721082
4053, Mullikin Road, Fernbrook, Evans, Columbia County, Georgia, 30809, United States
NPI: 1104817691
536 W Martintown Rd
NPI: 1366404824
3152, Washington Road, Avondale, Augusta, Richmond County, Georgia, 30907, United States
NPI: 1033177563
767, Broad Street, Broad Street Historic District, Augusta, Richmond County, Georgia, 30901, United States
NPI: 1336199777
3450, Wrightsboro Road, Ridgewood, Augusta, Richmond County, Georgia, 30909, United States
NPI: 1720022585
3152 WASHINGTON RD
NPI: 1548286107