DR. JACQUELINE ROSE FIDDLER (OD) – Optometrist, NPI 1013532480
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. JACQUELINE ROSE FIDDLER (OD)
211 E BROADWAY
ALTON, IL 620026220
Phone: (618) 462-9818
Type: Mailing
569 MID RIVERS MALL DR
SAINT PETERS, MO 633762152
Phone: (636) 970-2020
Type: Location
11860 CRANSTON DR
ARLINGTON, TN 380024886
Phone: (901) 867-5540
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $184.
Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($109).
Total Amount
$184
General + Research + Ownership
Payments
2
Total payment records
General Amount
$184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $109 |
| Carl Zeiss Meditec, Inc. | $75 |
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: 2021-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200806003793 | I | Optometry | MO | TBD |
| I20210908000980 | I | Optometry | TN | 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 62002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | TN | |
| - | TN | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | MS | |
| O P T O M E T R Y | TN | |
| - | VA | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | TN |
Reviews
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