DR. KATHRYN SURDOVEL (O.D.) – Optometrist, NPI 1346793205
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,116 OPTOMETRY in MA
Provider Addresses for DR. KATHRYN SURDOVEL (O.D.)
10 Lincoln Sq
Worcester, MA 016081135
Phone: (508) 373-5830
Fax: (508) 519-5512
Type: Location
377 PLANTATION ST # 4
WORCESTER, MA 01605
Phone: (413) 584-4040
Type: Location
35 State Hospital Dr
Bangor, ME 044018816
Phone: (207) 623-8411
Type: Location
331 Maine St Ste 1
Brunswick, ME 040113359
Phone: (207) 725-2161
Fax: (207) 725-9189
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($100).
Total Amount
$100
General + Research + Ownership
Payments
1
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $100 |
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: 2021-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170706001205 | I | Optometry | ME | TBD |
| I20211122001410 | I | Optometry | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | MA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MA | |
| - | MA | |
| O P T O M E T R Y | MA | |
| - | MA | |
| O P T O M E T R Y | MA | |
| O P T O M E T R Y | RI | |
| O P T O M E T R Y | MA |
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