DR. THOMAS MICHAEL ADAMCZAK (O.D.) – Optometrist, NPI 1083614911
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
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Provider Addresses for DR. THOMAS MICHAEL ADAMCZAK (O.D.)
105, West Exchange Street, Spring Lake, Spring Lake Township, Ottawa County, Michigan, 49456, United States
SPRING LAKE, MI 494562024
Phone: (616) 846-0620
Fax: (616) 844-6079
Type: Mailing
1315, East Colby Street, Whitehall, Muskegon County, Michigan, 49461, United States
SUITE A
WHITEHALL, MI 494611283
Phone: (231) 894-9300
Fax: (231) 894-9301
Type: Location
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 $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2023-11-15 • Largest payer in this snapshot: Alcon Vision LLC ($173).
Total Amount
$173
General + Research + Ownership
Payments
3
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $173 |
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: 2004-05-11
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 |
|---|---|---|---|---|
| I20040511001269 | I | Optometry | MI | 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 49456)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI |
Reviews
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