DR. KANWALPREET KAUR PAVONE (O.D.) – Optometrist, NPI 1386897874

DR. KANWALPREET KAUR PAVONE (O.D.) is a healthcare provider. based in Ann arbor, Michigan. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 4901004502 (MI). The NPI Number for DR. KANWALPREET KAUR PAVONE (O.D.) is 1386897874

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. KANWALPREET KAUR PAVONE (O.D.)
NPI
1386897874
Phone
(734) 994-9119
Address
1928 W Stadium Blvd
Enumeration Date
28 October 2008
Last Update Date
10 June 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7344275200
Graduation Year
2008 (18 years ago)
PAC ID
3577610153
Group Practice PAC ID
9931194149
Professional Enrollment ID
I20090416000733
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for DR. KANWALPREET KAUR PAVONE (O.D.)

  • 1928 W Stadium Blvd

    Ann Arbor, MI 481034504

    Phone: (734) 994-9119

    Fax: (734) 994-9120

    Type: Location

  • 4431, Hemmingway Drive, Drakes Ponds Apartments, Kalamazoo, Kalamazoo County, Michigan, 49009, United States

    KALAMAZOO, MI 490092465

    Phone: (734) 634-6992

    Type: Mailing

  • 2623 Plymouth Rd

    Ann Arbor, MI 481052468

    Phone: (734) 930-2373

    Fax: (734) 930-2390

    Type: Location

  • 117 S Main St

    Ann Arbor, MI 481041902

    Phone: (734) 665-5306

    Fax: (734) 665-5522

    Type: Location

  • 555 E Michigan Ave

    Saline, MI 481761588

    Phone: (734) 429-4885

    Fax: (734) 429-2389

    Type: Location

  • 138 W Chicago Blvd

    Tecumseh, MI 492861553

    Phone: (517) 423-2148

    Fax: (517) 423-7120

    Type: Location

  • 22350 Novi Rd

    Novi, MI 483754708

    Phone: (248) 347-7800

    Fax: (248) 347-7801

    Type: Location

  • PO BOX 208177

    DALLAS, TX 753208177

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($152).

Total Amount

$270

General + Research + Ownership

Payments

7

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-04-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090416000733IOptometryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4238$0
92083Exam of visual field with extended testing1816$0
99214Established patient office or other outpatient visit, 30-39 minutes1716$0
92014Established patient complete exam of visual system1616$0
92133Imaging of optic nerve1414$0
View full utilization report →

Insurance plans in this area (ZIP 48103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931194149View full group profile

Reviews

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Frequently asked questions

Does DR. KANWALPREET KAUR PAVONE (O.D.) have a public NPI I can cite?
Public records show DR. KANWALPREET KAUR PAVONE (O.D.) under NPI 1386897874.
Is DR. KANWALPREET KAUR PAVONE (O.D.)'s NPI status active today?
Active status means DR. KANWALPREET KAUR PAVONE (O.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. KANWALPREET KAUR PAVONE (O.D.)?
NPPES ties DR. KANWALPREET KAUR PAVONE (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. KANWALPREET KAUR PAVONE (O.D.) tied to Ann Arbor, Michigan?
If you are local to Ann Arbor, Michigan, DR. KANWALPREET KAUR PAVONE (O.D.) may be relevant to your search.
Who maintains DR. KANWALPREET KAUR PAVONE (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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