DR. JENNA ELISE STODDARD (OD) – Optometrist, NPI 1184101602
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,203 OPTOMETRY in MI
Provider Addresses for DR. JENNA ELISE STODDARD (OD)
120 Longmeadow Village Dr
Niles, MI 491207808
Phone: (269) 684-6400
Fax: (269) 684-5103
Type: Location
Fairfax Street Southeast, Leesburg, Loudoun County, Virginia, 20175, United States
LEESBURG, VA 201753616
Phone: (703) 777-1299
Type: Mailing
1524 NC HIGHWAY 24-87
CAMERON, NC 28326
Phone: (910) 223-5410
Fax: (910) 223-5119
Type: Mailing
1524 NC 24-87
CAMERON, NC 283269424
Phone: (910) 223-5410
Fax: (910) 223-5119
Type: Location
2848 NILES RD
SAINT JOSEPH, MI 490853352
Phone: (269) 428-3300
Fax: (269) 428-5005
Type: Mailing
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 $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: ABBVIE INC. ($45).
Total Amount
$61
General + Research + Ownership
Payments
3
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $45 |
| CooperVision Inc. | $16 |
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: 2023-02-24
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 |
|---|---|---|---|---|
| I20230224002631 | I | Optometry | NC | 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 |
|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | 17 | 17 | $0 |
| 92014 | Established patient complete exam of visual system | 17 | 17 | $0 |
Insurance plans in this area (ZIP 49120)
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