IAN M. CARR (OD) – Optometrist, NPI 1104017847

IAN M. CARR (OD) is a healthcare provider. based in Edgewood, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1725DT (KY). The NPI Number for IAN M. CARR (OD) is 1104017847

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
IAN M. CARR (OD)
NPI
1104017847
Phone
(859) 341-0888
Address
581 DUDLEY PIKE
Enumeration Date
7 August 2007
Last Update Date
17 June 2014

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8593410888
Graduation Year
2007 (19 years ago)
PAC ID
0244327096
Group Practice PAC ID
4981692084
Professional Enrollment ID
I20140813000932
Address ID
KY410173297ED581XXPIKE301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for IAN M. CARR (OD)

  • 581, Dudley Pike, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States

    EDGEWOOD, KY 410173296

    Phone: (859) 341-0888

    Fax: (859) 341-3386

    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)

CMS reports 51 Open Payments records for all available years, with a total value of $2,425.

Total Amount is formed as General ($2,425) + Research ($0) + Ownership ($0) = $2,425.

Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Visioneering Technologies, Inc. ($873).

Total Amount

$2,425

General + Research + Ownership

Payments

51

Total payment records

General Amount

$2,425

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-08-13

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
I20140813000932IOptometryKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11597$0
92250Photography of the retina10489$0
99213Established patient office or other outpatient visit, 20-29 minutes5733$0
92083Exam of visual field with extended testing2922$0
92133Imaging of optic nerve2419$0
View full utilization report →

Insurance plans in this area (ZIP 41017)

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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: 4981692084View full group profile
NameSpecialtyState
O P T O M E T R YKY
-KY

Reviews

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Frequently asked questions

What unique ID ties claims to IAN M. CARR (OD)?
NPI 1104017847 is assigned to IAN M. CARR (OD) under the national enumeration system.
Is IAN M. CARR (OD) active in the national directory?
IAN M. CARR (OD)'s public NPI profile is in an active state.
What field does IAN M. CARR (OD) work in?
You can think of IAN M. CARR (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place IAN M. CARR (OD)?
The snapshot lists Edgewood, Kentucky for IAN M. CARR (OD); download NPPES for the complete set.
What if Edgewood, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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