JEAN-PAUL ETIENNE (O.D.) – Optometrist, NPI 1952383937
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,126 OPTOMETRY in IN
Loading map...
Provider Addresses for JEAN-PAUL ETIENNE (O.D.)
East 3rd Street, Bloomington, Monroe County, Indiana, 47401, United States
BLOOMINGTON, IN 474015423
Phone: (812) 332-9014
Fax: (812) 331-8042
Type: Mailing
1950 OLD GALLOWS RD STE 520
VIENNA, VA 221823970
Phone:
Type: Mailing
2901 S MCINTIRE DR STE 120
BLOOMINGTON, IN 474034209
Phone: (812) 332-1401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $620.
Total Amount is formed as General ($620) + Research ($0) + Ownership ($0) = $620.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Alcon Vision LLC ($230).
Total Amount
$620
General + Research + Ownership
Payments
7
Total payment records
General Amount
$620
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $230 |
| CooperVision Inc. | $179 |
| Bausch & Lomb Americas Inc. | $110 |
| Johnson & Johnson Vision Care, Inc. | $101 |
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: 2005-07-25
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 |
|---|---|---|---|---|
| I20050725000448 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 129 | 128 | $0 |
| 92250 | Photography of the retina | 93 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 70 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 33 | 28 | $0 |
| 92004 | New patient complete exam of visual system | 25 | 25 | $0 |
Insurance plans in this area (ZIP 47401)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | VA | |
| - | IN | |
| O P T O M E T R Y | IN | |
| - | VA | |
| - | IN | |
| - | 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 |
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.