DR. JUSTIN JAY DENISON (O.D.) – Optometrist, NPI 1396183935

DR. JUSTIN JAY DENISON (O.D.) is a healthcare provider. based in Boise, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP - 100280 (ID). The NPI Number for DR. JUSTIN JAY DENISON (O.D.) is 1396183935

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN JAY DENISON (O.D.)
NPI
1396183935
Phone
(208) 322-2020
Address
3293 N MILWAUKEE ST
Enumeration Date
5 June 2013
Last Update Date
5 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083222020
Graduation Year
2013 (13 years ago)
PAC ID
5496994774
Group Practice PAC ID
4284768656
Professional Enrollment ID
I20130618000083
Address ID
ID837044446BO3293XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

270 OPTOMETRY in ID

Provider Addresses for DR. JUSTIN JAY DENISON (O.D.)

  • 3293 N MILWAUKEE ST

    BOISE, ID 837044446

    Phone: (208) 322-2020

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-06-18

PECOS data refreshed: 2026-06-15

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
I20130618000083IOptometryIDTBD

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
92014Established patient complete exam of visual system7676$0
92250Photography of the retina7170$0
99213Established patient office or other outpatient visit, 20-29 minutes2724$0
92004New patient complete exam of visual system1313$0
92083Exam of visual field with extended testing1211$0
View full utilization report →

Insurance plans in this area (ZIP 83704)

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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: 4284768656View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. JUSTIN JAY DENISON (O.D.) using NPI 1396183935?
NPI 1396183935 belongs to DR. JUSTIN JAY DENISON (O.D.); compare other details if you need extra assurance.
Is DR. JUSTIN JAY DENISON (O.D.) still an active registrant?
DR. JUSTIN JAY DENISON (O.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. JUSTIN JAY DENISON (O.D.)'s focus?
For DR. JUSTIN JAY DENISON (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JUSTIN JAY DENISON (O.D.)?
Directory geography for DR. JUSTIN JAY DENISON (O.D.) centers on Boise, Idaho.
Does DR. JUSTIN JAY DENISON (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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