ELIEL TREJO (OD) – Optometrist, NPI 1053149898

ELIEL TREJO (OD) is a healthcare provider. based in Garden city, Kansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2233 (KS). The NPI Number for ELIEL TREJO (OD) is 1053149898

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ELIEL TREJO (OD)
NPI
1053149898
Phone
(620) 275-5375
Address
802 N CAMPUS DR
Enumeration Date
23 July 2024
Last Update Date
23 July 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6202755375
Graduation Year
2024 (2 years ago)
PAC ID
2062950355
Group Practice PAC ID
7416904107
Professional Enrollment ID
I20240819000303
Address ID
KS678466342GA802XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for ELIEL TREJO (OD)

  • 802 N CAMPUS DR

    GARDEN CITY, KS 678466342

    Phone: (620) 275-5375

    Fax: (620) 275-2036

    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: 2024-08-19

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
I20240819000303IOptometryKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67846)

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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: 7416904107View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YTX

Reviews

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Frequently asked questions

Where can patients find ELIEL TREJO (OD)'s NPI?
You can confirm ELIEL TREJO (OD) with NPI 1053149898; it appears in the national provider directory.
Is ELIEL TREJO (OD) currently active in the NPI registry?
CMS-published data lists ELIEL TREJO (OD) as an active registrant.
Does ELIEL TREJO (OD) list a primary specialty?
If you are matching referrals, note Optometrist for ELIEL TREJO (OD). Clinical services aligned with this taxonomy classification.
Does ELIEL TREJO (OD) practice in Kansas?
You will see Garden City, Kansas on file for ELIEL TREJO (OD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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