DR. CARL W. SYDNOR (O.D.) – Vision Therapy Optometrist, NPI 1619973112

DR. CARL W. SYDNOR (O.D.) is a healthcare provider. based in Brandenburg, Kentucky. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1192DT (KY). The NPI Number for DR. CARL W. SYDNOR (O.D.) is 1619973112

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARL W. SYDNOR (O.D.)
NPI
1619973112
Phone
(270) 422-4241
Address
732 HIGH ST
Enumeration Date
21 June 2005
Last Update Date
23 January 2013

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
5024492080
Graduation Year
1990 (36 years ago)
PAC ID
8123081254
Group Practice PAC ID
0941108732
Professional Enrollment ID
I20091006000056
Address ID
KY402161704LO5224XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for DR. CARL W. SYDNOR (O.D.)

  • High Street, Eastwood Hills, Brandenburg, Meade County, Kentucky, 40108, United States

    BRANDENBURG, KY 401081234

    Phone: (270) 422-4241

    Fax: (270) 422-5211

    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 8 Open Payments records for all available years, with a total value of $267.

Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Alcon Vision LLC ($155).

Total Amount

$267

General + Research + Ownership

Payments

8

Total payment records

General Amount

$267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-10-06

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
I20091006000056IOptometryKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 40108)

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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: 0941108732View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. CARL W. SYDNOR (O.D.) using NPI 1619973112?
NPI 1619973112 belongs to DR. CARL W. SYDNOR (O.D.); compare other details if you need extra assurance.
Is DR. CARL W. SYDNOR (O.D.) shown as active in public data?
Registry records indicate DR. CARL W. SYDNOR (O.D.) maintains an active NPI.
What kind of doctor is DR. CARL W. SYDNOR (O.D.)?
DR. CARL W. SYDNOR (O.D.) is associated with Vision Therapy Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CARL W. SYDNOR (O.D.)?
Directory geography for DR. CARL W. SYDNOR (O.D.) centers on Brandenburg, Kentucky.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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