DR. DAVID WALTER PRUCY (O.D.) – Optometrist, NPI 1790873479

DR. DAVID WALTER PRUCY (O.D.) is a healthcare provider. based in Schererville, Indiana. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 18000199B (IN). The NPI Number for DR. DAVID WALTER PRUCY (O.D.) is 1790873479

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID WALTER PRUCY (O.D.)
NPI
1790873479
Phone
(219) 322-4348
Address
234 W US HIGHWAY 30
Enumeration Date
10 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2199428591
Graduation Year
1981 (45 years ago)
PAC ID
7810099033
Group Practice PAC ID
6002918224
Professional Enrollment ID
I20111020000115
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DAVID WALTER PRUCY (O.D.)

  • 73rd Avenue, Merrillville, Ross Township, Lake County, Indiana, 46410, United States

    SCHERERVILLE, IN 463751854

    Phone: (219) 322-4348

    Fax: (219) 322-4794

    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)

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: 2011-10-20

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
I20111020000115IOptometryINTBD

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
99204New patient office or other outpatient visit, 45-59 minutes2727$0
92250Photography of the retina2222$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 46375)

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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: 6002918224View full group profile
NameSpecialtyState
-IN

Reviews

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Frequently asked questions

Can I cross-check DR. DAVID WALTER PRUCY (O.D.) using NPI 1790873479?
NPI 1790873479 belongs to DR. DAVID WALTER PRUCY (O.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. DAVID WALTER PRUCY (O.D.)?
You should see DR. DAVID WALTER PRUCY (O.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. DAVID WALTER PRUCY (O.D.)'s focus?
For DR. DAVID WALTER PRUCY (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DAVID WALTER PRUCY (O.D.)?
Directory geography for DR. DAVID WALTER PRUCY (O.D.) centers on Schererville, Indiana.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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