Unknown Individual – Optometrist, NPI 1073574034
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2277, State Road, Ellisville, Plymouth, Plymouth County, Massachusetts, 02562, United States
SUITE F
PLYMOUTH, MA 023607111
Phone: (508) 888-6393
Fax: (508) 833-3551
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 3 Open Payments records for all available years, with a total value of $230.
Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.
Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Glaukos Corporation ($113).
Total Amount
$230
General + Research + Ownership
Payments
3
Total payment records
General Amount
$230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Glaukos Corporation | $113 |
| Alcon Vision LLC | $100 |
| ABBVIE INC. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 | 131 | 131 | $0 |
| 92014 | Established patient complete exam of visual system | 103 | 103 | $0 |
| 92081 | Exam of visual field with limited testing | 72 | 72 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 51 | $0 |
Insurance plans in this area (ZIP 02360)
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