STEPHANIE KLEMENCIC (O.D.) – Optometrist, NPI 1659340925
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
Provider Addresses for STEPHANIE KLEMENCIC (O.D.)
744 E 3RD ST
BLOOMINGTON, IN 474053603
Phone: (812) 855-8436
Fax: (812) 855-1683
Type: Location
1945 CEI DR
BLUE ASH, OH 452425664
Phone: (513) 569-3741
Fax: (513) 569-3941
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $242.
Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Dompe US, Inc. ($124).
Total Amount
$242
General + Research + Ownership
Payments
2
Total payment records
General Amount
$242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dompe US, Inc. | $124 |
| Bausch & Lomb Americas Inc. | $118 |
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: 2006-09-22
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 |
|---|---|---|---|---|
| I20050725001125 | I | Optometry | IN | TBD |
| I20060922000124 | I | Optometry | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 25 | 25 | $0 |
| 92004 | New patient complete exam of visual system | 19 | 19 | $0 |
Insurance plans in this area (ZIP 47405)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dentist, Oral Surgery, Maxillofacial Surgery | IN | |
| Qualified Audiologist | 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 T O M E T R Y | IN | |
| - | IN | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IN | |
| Maxillofacial Surgery, Dentist, Oral Surgery, Anesthesiology | NC |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.