DR. ASHLEY WALKOVIAK (O.D.) – Optometrist, NPI 1043699317

DR. ASHLEY WALKOVIAK (O.D.) is a healthcare provider. based in Rogers, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3441 (MN). The NPI Number for DR. ASHLEY WALKOVIAK (O.D.) is 1043699317

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ASHLEY WALKOVIAK (O.D.)
NPI
1043699317
Phone
(763) 428-9014
Address
21615 S DIAMOND LAKE RD
Enumeration Date
20 May 2015
Last Update Date
10 June 2015

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2186313300
Graduation Year
2011 (15 years ago)
PAC ID
0244547347
Group Practice PAC ID
1456684471
Professional Enrollment ID
I20150922003347
Address ID
MN564821556WA318XXSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for DR. ASHLEY WALKOVIAK (O.D.)

  • 21615 S DIAMOND LAKE RD

    ROGERS, MN 553748893

    Phone: (763) 428-9014

    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: 2015-09-22

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
I20150922003347IOptometryMNTBD

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 system2626$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 55374)

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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: 1456684471View full group profile

Reviews

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Frequently asked questions

How do I look up DR. ASHLEY WALKOVIAK (O.D.) by NPI?
Use NPI 1043699317 when you need to reference DR. ASHLEY WALKOVIAK (O.D.) in forms, claims, or directories.
Does this profile mean DR. ASHLEY WALKOVIAK (O.D.) is currently active?
Yes — DR. ASHLEY WALKOVIAK (O.D.) appears active in the national provider directory.
What kind of provider is DR. ASHLEY WALKOVIAK (O.D.)?
The page reflects Optometrist for DR. ASHLEY WALKOVIAK (O.D.). Clinical services aligned with this taxonomy classification.
Where is DR. ASHLEY WALKOVIAK (O.D.)'s primary listing?
We display Rogers, Minnesota because that is what the record indicates for DR. ASHLEY WALKOVIAK (O.D.).
What if Rogers, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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