DR. LANCE CALL LYSIUK (OD) – Optometrist, NPI 1366450041
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
530 OPTOMETRY in CT
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Provider Addresses for DR. LANCE CALL LYSIUK (OD)
Dennis Sullivan & Associates, 888, Worcester Street, Overbrook, Wellesley, Norfolk County, Massachusetts, 02482, United States
SUITE 130
WELLESLEY, MA 024823744
Phone: (617) 964-6681
Fax: (339) 686-2561
Type: Mailing
438, Main Street, Margaretville, Town of Middletown, Delaware County, New York, 12455, United States
SUITE 204
MIDDLETOWN, CT 064573396
Phone: (888) 964-6681
Fax: (888) 662-0859
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-01-05
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 |
|---|---|---|---|---|
| I20100105000288 | I | Optometry | CT | 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 | 419 | 405 | $0 |
| 92004 | New patient complete exam of visual system | 230 | 230 | $0 |
| 92250 | Photography of the retina | 199 | 196 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 171 | 115 | $0 |
| 92020 | Exam of the internal drainage system of eye | 54 | 53 | $0 |
Insurance plans in this area (ZIP 02482)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | NJ | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | NC | |
| O P T O M E T R Y | RI | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | IL |
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