DR. MICHAEL WALLACE (O.D.) – Optometrist, NPI 1689615346
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 DR. MICHAEL WALLACE (O.D.)
1379, Flushing Road, Flushing, Genesee County, Michigan, 48433, United States
FLUSHING, MI 484332262
Phone: (810) 659-3135
Fax: (810) 659-0024
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 24 Open Payments records for all available years, with a total value of $2,828.
Total Amount is formed as General ($2,828) + Research ($0) + Ownership ($0) = $2,828.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Alcon Vision LLC ($1,637).
Total Amount
$2,828
General + Research + Ownership
Payments
24
Total payment records
General Amount
$2,828
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
| Company | Amount |
|---|---|
| Alcon Vision LLC | $1,637 |
| BIOTISSUE HOLDINGS INC. | $703 |
| Lombart Brothers, Inc. | $187 |
| Bausch & Lomb Americas Inc. | $89 |
| LKC Technologies, Inc. | $83 |
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: 2025-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050719001073 | I | Optometry | MI | TBD |
| I20230718001691 | I | Optometry | TX | TBD |
| I20250723003153 | I | Optometry | AK | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 13 | 13 | $0 |
Insurance plans in this area (ZIP 48433)
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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 | 18 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | TX | |
| - | AK | |
| Mental Health Counselor | AK | |
| - | WA | |
| - | WA | |
| Internal Medicine, Geriatric Medicine | AK | |
| - | AK | |
| Nurse Practitioner | FL | |
| - | FL |
Reviews
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