NISHA SOMURI (O.D.) – Optometrist, NPI 1003837683
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
881 OPTOMETRY in MN
Provider Addresses for NISHA SOMURI (O.D.)
143 Willow Bnd
Crystal, MN 554283934
Phone: (763) 537-8532
Type: Location
143, Willow Bend, Crystal Shopping Center, Crystal, Hennepin County, Minnesota, 55428, United States
CRYSTAL, MN 554283934
Phone: (763) 537-8532
Type: Mailing
9225 S BROADWAY
HIGHLANDS RANCH, CO 801295651
Phone: (303) 683-4466
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $236.
Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: CooperVision Inc. ($134).
Total Amount
$236
General + Research + Ownership
Payments
5
Total payment records
General Amount
$236
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $134 |
| Bausch & Lomb Americas Inc. | $60 |
| Tarsus Pharmaceuticals, Inc. | $22 |
| Alcon Vision LLC | $20 |
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: 2024-07-05
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240705002551 | I | Optometry | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55428)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | CO | |
| - | MT | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | CO | |
| O P T O M E T R Y | IL |
Reviews
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