DR. JODI LYNN KORDYZON (OD) – Optometrist, NPI 1962451922
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. JODI LYNN KORDYZON (OD)
Westhaven Boulevard, Tecumseh, Lenawee County, Michigan, 49286, United States
TECUMSEH, MI 492861645
Phone: (517) 423-5612
Type: Mailing
1400, West Maumee Street, Adrian, Lenawee County, Michigan, 49221, United States
ADRIAN, MI 492211804
Phone: (517) 265-5444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: CooperVision Inc. ($33).
Total Amount
$33
General + Research + Ownership
Payments
2
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $33 |
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: 2010-05-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100505000092 | I | Optometry | MI | 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 | 164 | 163 | $0 |
| 92012 | Established patient problem focused exam of visual system | 62 | 51 | $0 |
| 92134 | Imaging of retina | 42 | 35 | $0 |
| 92004 | New patient complete exam of visual system | 35 | 35 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 34 | 20 | $0 |
Insurance plans in this area (ZIP 49286)
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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 | 155 | 148 |
| OPTOMETRY | MI | 92083 | Measurement of field of vision during daylight conditions | 28 | 26 |
| OPTOMETRY | MI | 92134 | Diagnostic imaging of retina | 31 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MI |
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