MS. ROSEANNE MARIE PRUIS (O.D.) – Optometrist, NPI 1730241605

MS. ROSEANNE MARIE PRUIS (O.D.) is a healthcare provider. based in Holland, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901004201 (MI). The NPI Number for MS. ROSEANNE MARIE PRUIS (O.D.) is 1730241605

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. ROSEANNE MARIE PRUIS (O.D.)
NPI
1730241605
Phone
(616) 396-2316
Address
999 WASHINGTON AVE
Enumeration Date
15 December 2006
Last Update Date
18 August 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
6163962316
Graduation Year
2003 (23 years ago)
PAC ID
2961468905
Group Practice PAC ID
6608957386
Professional Enrollment ID
I20041202000048
Address ID
MI494237722HO999XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for MS. ROSEANNE MARIE PRUIS (O.D.)

  • Holland Eye Surgery & Laser Center, 999, South Washington Avenue, Holland, Allegan County, Michigan, 49423, United States

    HOLLAND, MI 494237722

    Phone: (616) 396-2316

    Fax: (616) 396-0085

    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 6 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($36).

Total Amount

$146

General + Research + Ownership

Payments

6

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

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: 2004-12-02

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
I20041202000048IOptometryMITBD

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
92014Established patient complete exam of visual system159158$0
99213Established patient office or other outpatient visit, 20-29 minutes7459$0
92133Imaging of optic nerve5956$0
92083Exam of visual field with extended testing5150$0
92134Imaging of retina4949$0
View full utilization report →

Insurance plans in this area (ZIP 49423)

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Provider's Procedures

MS. ROSEANNE MARIE PRUIS (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMI92083Measurement of field of vision during daylight conditions3934
OPTOMETRYMI92134Diagnostic imaging of retina4643

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: 6608957386View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
-MI
O P T O M E T R YMI
O P T O M E T R YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. ROSEANNE MARIE PRUIS (O.D.)?
MS. ROSEANNE MARIE PRUIS (O.D.) — NPI 1730241605 — is the standard way to identify this listing.
Is MS. ROSEANNE MARIE PRUIS (O.D.) still practicing?
MS. ROSEANNE MARIE PRUIS (O.D.) is currently listed as active in the public NPI registry.
What is MS. ROSEANNE MARIE PRUIS (O.D.)'s specialty?
The listing groups MS. ROSEANNE MARIE PRUIS (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does MS. ROSEANNE MARIE PRUIS (O.D.) serve?
MS. ROSEANNE MARIE PRUIS (O.D.)'s listing highlights Holland, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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