ANN LACROIX FREDAL (O.D. PLLC) – Optometrist, NPI 1295815926
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 ANN LACROIX FREDAL (O.D. PLLC)
136, Cass Avenue, Mount Clemens Downtown Loop, Mount Clemens, Macomb County, Michigan, 48043, United States
MOUNT CLEMENS, MI 480432230
Phone:
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 27 Open Payments records for all available years, with a total value of $982.
Total Amount is formed as General ($982) + Research ($0) + Ownership ($0) = $982.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($284).
Total Amount
$982
General + Research + Ownership
Payments
27
Total payment records
General Amount
$982
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
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: 2010-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (771 days ago).
Enrollment records
2
Earliest due date
2024-04-30
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 |
|---|---|---|---|---|
| I20101214001206 | I | Optometry | MI | TBD |
| O20100930018225 | O | Physician - Optometrist | MI | 2024-04-30 |
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 | 311 | 307 | $0 |
| 92012 | Established patient problem focused exam of visual system | 133 | 91 | $0 |
| 92250 | Photography of the retina | 106 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 40 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 47 | 26 | $0 |
Insurance plans in this area (ZIP 48043)
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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 | 39 | 38 |
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 |
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