ABBY BUNNELL (OD) – Optometrist, NPI 1629701099

ABBY BUNNELL (OD) is a healthcare provider. based in Bloomington, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3804 (MN). The NPI Number for ABBY BUNNELL (OD) is 1629701099

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ABBY BUNNELL (OD)
NPI
1629701099
Phone
Not provided
Address
9117 LYNDALE AVE S
Enumeration Date
5 July 2022
Last Update Date
5 July 2022

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
9528351235
Graduation Year
2022 (4 years ago)
PAC ID
0648654509
Group Practice PAC ID
4082644786
Professional Enrollment ID
I20220826002198
Address ID
MN554203522BL9117XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for ABBY BUNNELL (OD)

  • 9117 LYNDALE AVE S

    BLOOMINGTON, MN 554203522

    Phone:

    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 7 Open Payments records for all available years, with a total value of $2,401.

Total Amount is formed as General ($2,401) + Research ($0) + Ownership ($0) = $2,401.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($2,323).

Total Amount

$2,401

General + Research + Ownership

Payments

7

Total payment records

General Amount

$2,401

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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: 2022-08-26

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
I20220826002198IOptometryMNTBD

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
92250Photography of the retina139137$0
92136Measurement of corneal curvature and depth of eye127127$0
99204New patient office or other outpatient visit, 45-59 minutes123123$0
92014Established patient complete exam of visual system111102$0
99213Established patient office or other outpatient visit, 20-29 minutes4634$0
View full utilization report →

Insurance plans in this area (ZIP 55420)

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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: 4082644786View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P H T H A L M O L O G YMN

Reviews

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Frequently asked questions

Can I verify ABBY BUNNELL (OD) with an NPI only?
You can start verification with NPI 1629701099 for ABBY BUNNELL (OD), then check state licensing separately.
Can I rely on ABBY BUNNELL (OD) being an active provider?
As of the registry snapshot, ABBY BUNNELL (OD) is marked active.
What healthcare role does ABBY BUNNELL (OD) hold?
Scheduling teams often label ABBY BUNNELL (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for ABBY BUNNELL (OD)?
ABBY BUNNELL (OD)'s geographic hint is Bloomington, Minnesota in our summary view.
Is the information about ABBY BUNNELL (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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