AMY I. MUMMERT (O.D.) – Optometrist, NPI 1457332991

AMY I. MUMMERT (O.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 4901003582 (MI). The NPI Number for AMY I. MUMMERT (O.D.) is 1457332991

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
AMY I. MUMMERT (O.D.)
NPI
1457332991
Phone
(231) 947-2121
Address
522 E 8TH ST
Enumeration Date
10 November 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
2319472121
Graduation Year
1991 (35 years ago)
PAC ID
7315977162
Professional Enrollment ID
I20050822000356
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for AMY I. MUMMERT (O.D.)

  • 522 E 8TH ST

    TRAVERSE CITY, MI 496862629

    Phone: (231) 947-2121

    Fax: (231) 933-6313

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-08-22

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
I20050822000356IOptometryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49686)

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Reviews

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Frequently asked questions

Can I cross-check AMY I. MUMMERT (O.D.) using NPI 1457332991?
NPI 1457332991 belongs to AMY I. MUMMERT (O.D.); compare other details if you need extra assurance.
Is there an active status for AMY I. MUMMERT (O.D.)?
For scheduling context, AMY I. MUMMERT (O.D.) is shown as active in the registry.
What expertise is attributed to AMY I. MUMMERT (O.D.)?
AMY I. MUMMERT (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is AMY I. MUMMERT (O.D.) located near Traverse City?
AMY I. MUMMERT (O.D.) currently maps to Traverse City, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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