DR. DANA REILLY (OD) – Optometrist, NPI 1093235236

DR. DANA REILLY (OD) is a healthcare provider. based in Granger, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. UNKNOWN (MI). The NPI Number for DR. DANA REILLY (OD) is 1093235236

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANA REILLY (OD)
NPI
1093235236
Phone
(574) 271-5017
Address
115 E UNIVERSITY DR
Enumeration Date
20 June 2017
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5742933545
Graduation Year
2017 (9 years ago)
PAC ID
9931479979
Group Practice PAC ID
6103921556
Professional Enrollment ID
I20210907002292
Address ID
IN465141365EL2746X20XX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for DR. DANA REILLY (OD)

  • 115 E UNIVERSITY DR

    GRANGER, IN 465304474

    Phone: (574) 271-5017

    Type: Mailing

  • 100 Cherry St SE

    Grand Rapids, MI 495034526

    Phone: (616) 965-8200

    Fax: (616) 940-5366

    Type: Location

  • 119, Tulip Street, Keswick, Georgina, York Region, Golden Horseshoe, Ontario, L4P 1J1, Canada

    KESWICK, ONTARIO L4P1C6

    Phone:

    Type: Mailing

  • 100, Cherry Street Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034526

    Phone: (616) 965-8200

    Fax: (616) 940-5366

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,160.

Total Amount is formed as General ($1,160) + Research ($0) + Ownership ($0) = $1,160.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($213).

Total Amount

$1,160

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2021-09-07

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
I20210907002292IOptometryINTBD

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
92012Established patient problem focused exam of visual system183137$0
92014Established patient complete exam of visual system163152$0
92134Imaging of retina8474$0
92133Imaging of optic nerve7873$0
99214Established patient office or other outpatient visit, 30-39 minutes7878$0
View full utilization report →

Insurance plans in this area (ZIP 46530)

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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: 6103921556View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P H T H A L M O L O G 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
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YFL
Certified Registered Nurse Anesthetist (Crna)IN
O P T O M E T R YIN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DANA REILLY (OD)'s NPI?
Yes. DR. DANA REILLY (OD) is listed with NPI 1093235236 in the public NPI dataset.
Is DR. DANA REILLY (OD) listed as active for patients and plans?
The listing shows DR. DANA REILLY (OD) as active in the NPI system.
What is DR. DANA REILLY (OD)'s specialty?
The listing groups DR. DANA REILLY (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. DANA REILLY (OD) list a practice location?
Patients near Granger, Indiana may find DR. DANA REILLY (OD) in results; validate coverage separately.
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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