KARLY ROSE GRUETT (OD) – Optometrist, NPI 1396599387
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
Provider Addresses for KARLY ROSE GRUETT (OD)
2216 Cassopolis St
Elkhart, IN 465145133
Phone: (574) 261-2111
Fax: (574) 266-0555
Type: Location
320 Meadow Ln
Plymouth, IN 465639394
Phone: (574) 935-4480
Fax: (574) 941-2040
Type: Location
319 N Niles Ave Ste 100
South Bend, IN 466172328
Phone: (574) 282-2020
Fax: (574) 288-2020
Type: Location
230 E DAY RD STE 100
MISHAWAKA, IN 465453408
Phone: (574) 271-3939
Type: Mailing
1747 Stafford Ct
Goshen, IN 465266542
Phone: (574) 533-0100
Fax: (574) 534-8088
Type: Location
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: 2025-07-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250717000885 | I | Optometry | IN | 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 46514)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| O P H T H A L M O L O G Y | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN |
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