DR. AVESH RAGHUNANDAN (O.D., PHD) – Optometrist, NPI 1043399306

DR. AVESH RAGHUNANDAN (O.D., PHD) is a healthcare provider. based in Big rapids, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D., PHD. They hold a License No. 4901004409 (MI). The NPI Number for DR. AVESH RAGHUNANDAN (O.D., PHD) is 1043399306

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. AVESH RAGHUNANDAN (O.D., PHD)
NPI
1043399306
Phone
(231) 591-2222
Address
1310 CRAMER CIR
Enumeration Date
6 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
2315912020
Graduation Year
2006 (20 years ago)
PAC ID
3971505355
Group Practice PAC ID
3971572124
Professional Enrollment ID
I20070214000168
Address ID
MI493072256BI1124XSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. AVESH RAGHUNANDAN (O.D., PHD)

  • 1310, Cramer Circle, Big Rapids, Mecosta County, Michigan, 49307, United States

    PENNOCK 506

    BIG RAPIDS, MI 493072736

    Phone: (231) 591-2222

    Fax: (231) 591-3991

    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 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-06-12 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($48).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
BIOTISSUE HOLDINGS, INC.$48
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: 2007-02-14

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
I20070214000168IOptometryMITBD

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 49307)

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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: 3971572124View full group profile
NameSpecialtyState
-MI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YNH
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

What is the registry number for DR. AVESH RAGHUNANDAN (O.D., PHD)?
The registry entry for DR. AVESH RAGHUNANDAN (O.D., PHD) shows NPI 1043399306.
Is DR. AVESH RAGHUNANDAN (O.D., PHD) currently accepting referrals based on NPI status?
Registry metadata lists DR. AVESH RAGHUNANDAN (O.D., PHD) as active.
What type of care does DR. AVESH RAGHUNANDAN (O.D., PHD) provide?
DR. AVESH RAGHUNANDAN (O.D., PHD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. AVESH RAGHUNANDAN (O.D., PHD) in Big Rapids, Michigan?
For routing, start with Big Rapids, Michigan for DR. AVESH RAGHUNANDAN (O.D., PHD), then verify phone and hours locally.
Can I export DR. AVESH RAGHUNANDAN (O.D., PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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