DR. DEVIN RICHARD WIESECKEL (OD) – Optometrist, NPI 1649790262

DR. DEVIN RICHARD WIESECKEL (OD) is a healthcare provider. based in Smyrna, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003013 (GA). The NPI Number for DR. DEVIN RICHARD WIESECKEL (OD) is 1649790262

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEVIN RICHARD WIESECKEL (OD)
NPI
1649790262
Phone
(770) 435-4457
Address
4280 E WEST CONNECTOR SE
Enumeration Date
24 June 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704354457
Graduation Year
2017 (9 years ago)
PAC ID
2365712320
Group Practice PAC ID
2163403510
Professional Enrollment ID
I20190515002647
Address ID
GA300820000SM4280XSEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for DR. DEVIN RICHARD WIESECKEL (OD)

  • East-West Connector, Smyrna, Cobb County, Georgia, 30082, United States

    SMYRNA, GA 300824804

    Phone: (770) 435-4457

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $262.

Total Amount is formed as General ($262) + Research ($0) + Ownership ($0) = $262.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Alcon Vision LLC ($156).

Total Amount

$262

General + Research + Ownership

Payments

7

Total payment records

General Amount

$262

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2019-05-15

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
I20190515002647IOptometryGATBD

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 lens1,53312$0
99213Established patient office or other outpatient visit, 20-29 minutes4634$0
92014Established patient complete exam of visual system3232$0
92004New patient complete exam of visual system1414$0
View full utilization report →

Insurance plans in this area (ZIP 30082)

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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: 2163403510View full group profile

Reviews

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Frequently asked questions

Is DR. DEVIN RICHARD WIESECKEL (OD) listed with a National Provider Identifier?
Yes — DR. DEVIN RICHARD WIESECKEL (OD) has NPI 1649790262 on file in the registry.
Would DR. DEVIN RICHARD WIESECKEL (OD) appear as active to a payer?
You can treat DR. DEVIN RICHARD WIESECKEL (OD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. DEVIN RICHARD WIESECKEL (OD)?
DR. DEVIN RICHARD WIESECKEL (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DEVIN RICHARD WIESECKEL (OD)?
Travel planning: use Smyrna, Georgia as the reference point for DR. DEVIN RICHARD WIESECKEL (OD), then confirm.
When was this NPI issued?
Enumeration for DR. DEVIN RICHARD WIESECKEL (OD) is noted as June 24, 2017 where the registry provides it.

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