DR. EMILY ROSE LASALLE (O.D.) – Optometrist, NPI 1528080710
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPTOMETRY in GA
Provider Addresses for DR. EMILY ROSE LASALLE (O.D.)
732 CRESCENT CIR
CANTON, GA 301154771
Phone: (614) 638-3140
Type: Mailing
1810 CUMMING HWY SPC F-1010
CANTON, GA 301152986
Phone: (770) 704-9666
Fax: (614) 856-0534
Type: Location
Taylor Park, Taylor Square, Reynoldsburg, Violet Township, Fairfield County, Ohio, 43068, United States
REYNOLDSBURG, OH 430688052
Phone: (614) 638-3140
Type: Mailing
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 $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2023-06-02 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($62).
Total Amount
$62
General + Research + Ownership
Payments
1
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sun Pharmaceutical Industries Inc. | $62 |
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: 2025-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20121107000079 | I | Optometry | SC | TBD |
| I20200331003482 | I | Optometry | GA | TBD |
| I20251107001480 | I | Optometry | FL | 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 30115)
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