MARY ESDERS (OD) – Optometrist, NPI 1033560974

MARY ESDERS (OD) is a healthcare provider. based in Lafayette, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18003968A (IN). The NPI Number for MARY ESDERS (OD) is 1033560974

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MARY ESDERS (OD)
NPI
1033560974
Phone
(765) 447-4951
Address
1221 S CREASY LN
Enumeration Date
22 June 2016
Last Update Date
22 June 2016

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
7654474951
Graduation Year
2016 (10 years ago)
PAC ID
1850682428
Group Practice PAC ID
9830169234
Professional Enrollment ID
I20160629001166
Address ID
IN479057430LA1221XLNXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for MARY ESDERS (OD)

  • 1221, South Creasy Lane, Lafayette, Tippecanoe County, Indiana, 47905, United States

    SUITE A

    LAFAYETTE, IN 479057430

    Phone: (765) 447-4951

    Fax: (765) 447-4834

    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 $279.

Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Alcon Vision LLC ($176).

Total Amount

$279

General + Research + Ownership

Payments

7

Total payment records

General Amount

$279

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: 2016-06-29

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
I20160629001166IOptometryINTBD

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 system238238$0
92004New patient complete exam of visual system8484$0
92134Imaging of retina7370$0
92133Imaging of optic nerve6154$0
99213Established patient office or other outpatient visit, 20-29 minutes5437$0
View full utilization report →

Insurance plans in this area (ZIP 47905)

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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: 9830169234View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YNH
-IN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARY ESDERS (OD)?
MARY ESDERS (OD) — NPI 1033560974 — is the standard way to identify this listing.
Is MARY ESDERS (OD) still practicing?
MARY ESDERS (OD) is currently listed as active in the public NPI registry.
What is MARY ESDERS (OD)'s primary classification?
Optometrist is the headline specialty for MARY ESDERS (OD) here. Clinical services aligned with this taxonomy classification.
Where should I expect MARY ESDERS (OD) on a map?
Expect Lafayette, Indiana as a primary anchor for MARY ESDERS (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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