GRACE DALTON (OD) – Optometrist, NPI 1023856523

GRACE DALTON (OD) is a healthcare provider. based in Olive branch, Mississippi. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3900 (TN). The NPI Number for GRACE DALTON (OD) is 1023856523

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
GRACE DALTON (OD)
NPI
1023856523
Phone
(662) 893-3300
Address
6947 CRUMPLER BLVD
Enumeration Date
18 July 2024
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9018508572
Graduation Year
2024 (2 years ago)
PAC ID
0941715387
Group Practice PAC ID
4284942715
Professional Enrollment ID
I20250715000012
Address ID
TN381396970GE2059XRDXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

331 OPTOMETRY in MS

Provider Addresses for GRACE DALTON (OD)

  • 6947 CRUMPLER BLVD

    OLIVE BRANCH, MS 386541922

    Phone: (662) 893-3300

    Fax: (662) 893-3301

    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 3 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($99).

Total Amount

$99

General + Research + Ownership

Payments

3

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-07-15

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
I20250715000012IOptometryTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38654)

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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: 4284942715View full group profile
NameSpecialtyState
O P T O M E T R YTN
O P T O M E T R YVA

Reviews

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Frequently asked questions

What identifier follows GRACE DALTON (OD) across health systems?
The NPI 1023856523 uniquely identifies GRACE DALTON (OD) in U.S. healthcare data.
Is GRACE DALTON (OD) currently accepting referrals based on NPI status?
Registry metadata lists GRACE DALTON (OD) as active.
What services align with GRACE DALTON (OD)'s listing?
GRACE DALTON (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit GRACE DALTON (OD) in Olive Branch, Mississippi?
For routing, start with Olive Branch, Mississippi for GRACE DALTON (OD), then verify phone and hours locally.
Can I export GRACE DALTON (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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