ERIC LEE BALTHASER (OD) – Optometrist, NPI 1184770281
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
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Provider Addresses for ERIC LEE BALTHASER (OD)
140, Macomb Daily Drive, Mt. Clemens Wastewater Treatment, Mount Clemens, Macomb County, Michigan, 48043, United States
MT CLEMENS, MI 48043
Phone: (586) 468-7370
Fax: (586) 464-1472
Type: Mailing
Milan Road, Sandusky, Erie County, Ohio, 44870, United States
SANDUSKY, OH 44870
Phone: (419) 624-0456
Fax: (419) 624-9215
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $261.
Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($59).
Total Amount
$261
General + Research + Ownership
Payments
14
Total payment records
General Amount
$261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (984 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20120919000384 | I | Optometry | OH | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 58 | 58 | $0 |
| 92134 | Imaging of retina | 17 | 17 | $0 |
Insurance plans in this area (ZIP 48043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P T O M E T R Y | OH |
Reviews
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