ALYSSA DANIELLE CONJACK (O.D.) – Optometrist, NPI 1598299661
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,771 OPTOMETRY in PA
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Provider Addresses for ALYSSA DANIELLE CONJACK (O.D.)
Conn Terrace, North Elizabeth Street, Lexington, Fayette County, Kentucky, 40508, United States
LEXINGTON, KY 405083206
Phone:
Type: Mailing
Bayfront Professional Building, 300, State Street, Downtown Erie, Erie, Erie County, Pennsylvania, 16507, United States
ERIE, PA 165071427
Phone: (144) 540-6048
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $622.
Total Amount is formed as General ($622) + Research ($0) + Ownership ($0) = $622.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($154).
Total Amount
$622
General + Research + Ownership
Payments
35
Total payment records
General Amount
$622
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $154 |
| Alcon Vision LLC | $71 |
| Sun Pharmaceutical Industries Inc. | $64 |
| Amgen Inc. | $53 |
| Tarsus Pharmaceuticals, Inc. | $48 |
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: 2018-11-30
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 |
|---|---|---|---|---|
| I20181130001651 | I | Optometry | PA | 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 | 304 | 286 | $0 |
| 92012 | Established patient problem focused exam of visual system | 119 | 94 | $0 |
| 92133 | Imaging of optic nerve | 90 | 79 | $0 |
| 92250 | Photography of the retina | 84 | 81 | $0 |
| 92134 | Imaging of retina | 67 | 62 | $0 |
Insurance plans in this area (ZIP 40508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA |
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