WILLIAM ROY SHOULDICE (OD) – Optometrist, NPI 1275611246
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
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Provider Addresses for WILLIAM ROY SHOULDICE (OD)
Gaylord Post Office, 3rd Street, Gaylord Mobile Home Park, Gaylord, Sibley County, Minnesota, 55334, United States
GAYLORD, MI 497345665
Phone: (989) 732-6455
Fax: (989) 732-1102
Type: Mailing
Alpine Eye Care, 350, West North Street, Gaylord, Otsego County, Michigan, 49735, United States
GAYLORD, MI 497351525
Phone: (989) 732-6455
Fax: (989) 732-1102
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.
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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: 2007-09-27
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 |
|---|---|---|---|---|
| I20070927000965 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92012 | Established patient problem focused exam of visual system | 225 | 181 | $0 |
| 92014 | Established patient complete exam of visual system | 213 | 208 | $0 |
| 92133 | Imaging of optic nerve | 120 | 120 | $0 |
| 92134 | Imaging of retina | 113 | 91 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 98 | 89 | $0 |
Insurance plans in this area (ZIP 49734)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MI | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 1007 | 650 |
| OPTOMETRY | MI | 92083 | Measurement of field of vision during daylight conditions | 284 | 280 |
| OPTOMETRY | MI | 92134 | Diagnostic imaging of retina | 229 | 203 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI |
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