LYNETTE DELINA WRAY – Optometrist, NPI 1033841663

LYNETTE DELINA WRAY is a healthcare provider. based in Berwyn heights, Maryland. specializing in OPTOMETRY. They hold a License No. OP2000525 (DC). The NPI Number for LYNETTE DELINA WRAY is 1033841663

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LYNETTE DELINA WRAY
NPI
1033841663
Phone
Not provided
Address
6200 RUATAN ST
Enumeration Date
1 July 2022
Last Update Date
20 July 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
3019513373
Graduation Year
2021 (5 years ago)
PAC ID
2961866801
Group Practice PAC ID
6002037629
Professional Enrollment ID
I20230912001000
Address ID
MD208153605CH4465XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

629 OPTOMETRY in MD

Provider Addresses for LYNETTE DELINA WRAY

  • 6200 RUATAN ST

    BERWYN HEIGHTS, MD 207402326

    Phone:

    Type: Mailing

  • 6509 DEMOCRACY BLVD

    BETHESDA, MD 208171639

    Phone: (301) 897-8484

    Type: Location

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone:

    Type: Mailing

  • 4465 WILLARD AVE

    CHEVY CHASE, MD 208153605

    Phone: (301) 951-3373

    Fax: (301) 951-3371

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $994.

Total Amount is formed as General ($994) + Research ($0) + Ownership ($0) = $994.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($495).

Total Amount

$994

General + Research + Ownership

Payments

18

Total payment records

General Amount

$994

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2023-09-12

PECOS data refreshed: 2026-06-15

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
I20230912001000IOptometryDCTBD

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 20740)

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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: 6002037629View full group profile
NameSpecialtyState
O P T O M E T R YMD
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
-VA
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YVA
O P T O M E T R YMD

Reviews

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Frequently asked questions

Does LYNETTE DELINA WRAY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LYNETTE DELINA WRAY uses 1033841663.
Is LYNETTE DELINA WRAY listed as active for patients and plans?
The listing shows LYNETTE DELINA WRAY as active in the NPI system.
What is LYNETTE DELINA WRAY's primary classification?
Optometrist is the headline specialty for LYNETTE DELINA WRAY here. Clinical services aligned with this taxonomy classification.
Where is LYNETTE DELINA WRAY based?
LYNETTE DELINA WRAY is tied to Berwyn Heights, Maryland in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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