LAUREN NICOLE TATLOCK (OD) – Optometrist, NPI 1083276810
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 OPTOMETRY in KS
Provider Addresses for LAUREN NICOLE TATLOCK (OD)
2701 N Rock Rd Ste 200
Derby, KS 670373790
Phone: (316) 247-6515
Type: Location
Jury Eye Care, 926, East Douglas Avenue, Wichita, Sedgwick County, Kansas, 67202, United States
WICHITA, KS 672023510
Phone: (316) 217-7459
Fax: (678) 928-0651
Type: Mailing
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: 2019-07-25
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 |
|---|---|---|---|---|
| I20190725001183 | I | Optometry | KS | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 45 | 40 | $0 |
| 92014 | Established patient complete exam of visual system | 35 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 22 | $0 |
| 92134 | Imaging of retina | 14 | 12 | $0 |
| 92004 | New patient complete exam of visual system | 11 | 11 | $0 |
Insurance plans in this area (ZIP 67037)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | KS |
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